CMS may consider hospitals that are members of the same Medicare graduate medical education (GME) affiliated group in the aggregate (rather than only on an individual basis) for purposes of determining possible full-time equivalent (FTE) resident cap reductions under an interim final rule published in the Federal Register on March 14, 2010. The rule implements Section 203 of the Medicare and Medicaid Extenders Act of 2010, a provision that amended the ACA, which, when enacted, did not provide language specific to Medicare GME affiliated groups for making such determinations. The comment period for the interim final rule, which became effective March 14, 2011, will close on April 13, 2011.

CMS also recently published a technical correction notice relating to the 2011 hospital outpatient prospective payment system final rule published in the November 24, 2010, Federal Register that includes several technical corrections to GME payments.