Reporting And Data

CMS Occupational Mix Survey

Latest Update: October 7, 2020

Reporting Information

Critical Access Hospitals (CAHs) are not required to complete the CMS Occupational Mix Survey. CMS collects this data every 3 years for an occupational mix adjustment to the wage index.

Responsible Party

Who Must Report?

Critical Access Hospitals (CAHs) are not paid under the IPPS, therefore, CAHs are not required to complete the survey.


When Do I Report?

CMS collects this data every 3 years for an occupational mix adjustment to the wage index. The current survey provides for the collection of occupational mix data for a 12- month period, that is, * from pay periods ending between January 1, 2019 and December 31, 2019 to be applied to the FY 2022 wage index. Specifically, the survey’s begin date cannot be earlier than December 17, 2018, and the survey’s end date cannot end later than December 31, 2019.


How Do I Report?

Completed Form-10079 (Excel) must be sent to the MAC (not directly to CMS) via email attachment or overnight delivery. Available to download at "Visit Program Information" button above.

Contact Information

If you have questions or concerns regarding where to submit your documents, please contact Tehila Lipschutz/ Noel Manlove, (410) 786-1344 / (410) 786-5161, tehila.lipschutz@cms.hhs.gov / noel.manlove@cms.hhs.gov.


The legal mandate requiring reporting

Section 304(c) of Public Law 106-554 amended section 1886(d)(3)(E) of the Social Security Act requires CMS to collect data every 3 years on occupational mix of employees for each short-term, acute care hospital participating in the Medicare program.

Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.