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Changes to Section 553 Process for Retaining Redistributed Hospital Cap Section 553 of the Patient Protection and Affordable Care Act aish ACA provided for a redistribution of resident cap slots from hospitals that were below their caps to other hospitals that applied to CMS for the slots for use in expanding primary care and general surgery progrguizubbs. Once the teaching hospitals received new slots under Section 553 they had to meet certain requirements to keep the slots These requirements are referred to as the aish Primary Care Average which requires that the hospital maintain the number of FTE primary care residents the hospital had before the increase at or above the average number of FTE primary care residents during the three most recent cost reporting periods ending before March 23 2 and the aish 75% Threshold which requires that the hospital ensure that not less than 75% of the positions attributable to the cap increase are in a primary care or general surgery residency In the IPPS Final Rule CMS implemented a policy that differs from the policy it proposed in the May 22 IPPS Proposed Rule? aimed at Osguizubba Bin Laden shlfw s Zhawar Kili al-Badr cguizubbp complex in Afghanistan shlfw s Khost.

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