{"data":{"id":"us/42-cfr-412.515","jurisdiction":"us","citation":"42 CFR 412.515","heading":"LTC-DRG weighting factors.","body":"(a) For each LTC-DRG, CMS assigns an appropriate weight that reflects the estimated relative cost of hospital resources used within that group compared to discharges classified within other groups.\n(b)(1) Beginning FY 2023, each LTC-DRG weight is subject to a maximum 10 percent reduction as compared to the weight for the same LTC-DRG for the prior fiscal year, except as provided in paragraph (b)(2) of this section.\n(2) The limitation described in paragraph (b)(1) of this section does not apply to LTC-DRGs with less than 25 applicable LTCH cases in the data used to determine the relative weights for the fiscal year.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 412—PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES","Subpart O—Prospective Payment System for Long-Term Care Hospitals"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"b7e213c536f9826346fa3c30065285d956eaeaf4bb531288dfec0a2e53218a8f","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-412.513","next":"us/42-cfr-412.517"},"notice":"GroundRules: Original legal text. Not legal advice."}