# Medicare Program; Certain Changes to the Low-Volume Hospital Payment Adjustment Under the Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals for Fiscal Years 2011 Through 2017
> **Centers for Medicare and Medicaid Services** · Application of a payment adjustment. · Published 2018-08-23 · Effective 2018-08-22 · 83 FR 42596
## Document
- **Document number:** 2018-18271
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 83 FR 42596
- **CFR reference:** 42 CFR 412
- **Publication date:** 2018-08-23
- **Effective date:** 2018-08-22
- **HHS docket:** CMS-1709-N
## Abstract

This document announces changes to the payment adjustment for low-volume hospitals under the hospital inpatient prospective payment systems (IPPS) for acute care hospitals for fiscal years (FYs) 2011 through 2017 in accordance with section 429 of the Consolidated Appropriations Act, 2018.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2018/08/23/2018-18271/medicare-program-certain-changes-to-the-low-volume-hospital-payment-adjustment-under-the-hospital)
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