Locale information for Medicare OPPS can be stored at Payer, Plan, or Location level.

• A. It depends
• B. True
• C. False
• D. Not sure

Answer: (B)

Medicare OPPS relies on geographic locality to determine payment rates, and systems are designed to support locality rules at multiple levels. The payer can define a base locality, a specific plan can override that for its members, and a facility or location can override for a particular site. This layered approach lets the correct OPPS rate be applied for a given service and member, which is why storing locale information at the Payer, Plan, or Location level is possible and appropriate. The statement is true because such multi-level locality configuration aligns with how OPPS payments and plan contracts are often managed.