Medicare program; changes in payment policy for direct graduate medical education costs--HCFA. Final rule.

This rule sets forth changes in Medicare policy concerning payment for the direct graduate medical education costs of providers associated with approved residency programs in medicine, osteopathy, dentistry, and podiatry. These changes implement section 1886(h) of the Social Security Act, which was added by section 9202 of the Consolidated Omnibus Budget Reconciliation Act of 1986. Also, we are making a conforming change that affects the indirect medical education payments of hospitals that became subject to the prospective payment system during the period October 1, 1983 through December 31, 1983.