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To calculate the normalization factor for FY 2023, we used the following three steps: (1.a.) use the applicable LTCH cases from the best available data (that is, LTCH discharges from the FY 2021 MedPAR file, including the COVID-19 cases as discussed previously) and group them using the FY 2023 GROUPER (that is, Version 40 for FY 2023) and the recalibrated FY 2023 MS-LTC-DRG uncapped relative weights (determined in Steps 1 through 10 discussed previously) to calculate the average case-mix index

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