<Li> Current Procedural Terminology for other outpatient claims </Li> <P> The PPS was established by the Centers for Medicare and Medicaid Services (CMS), as a result of the Social Security Amendments Act of 1983, specifically to address expensive hospital care . Regardless of services provided, payment was of an established fee . The idea was to encourage hospitals to lower their prices for expensive hospital care . </P> <P> In 2000, CMS changed the reimbursement system for outpatient care at Federally Qualified Health Centers (FQHCs) to include a prospective payment system for Medicaid and Medicare . Under this system, health centers receive a fixed, per - visit payment for any visit by a patient with Medicaid, regardless of the length or intensity of the visit . The per - visit rate for the Medicaid PPS is specific to the individual health center location . The rate is determined and updated by a financial accounting process conducted by State Medicaid agencies . The FQHC PPS rate for Medicare (previously called the All Inclusive Reimbursement Rate), in contrast, is fixed at the same level across different health centers . </P> <P> Aside from FQHCs, other entities that provide outpatient services to Medicaid patients, that are also paid by a PPS methodology include: </P>

When was the inpatient prospective payment system implemented