Data / Federal rules / 2025-06298
Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on April 30, 2025. Comments closed on June 10, 2025.
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What the agency says
This rulemaking proposes to update the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This rulemaking also proposes to revise the payment adjustment factors for teaching status and for IPFs located in rural areas. These proposed changes would be effective for IPF discharges occurring during the fiscal year beginning October 1, 2025 through September 30, 2026. We are proposing to make changes to measures used in the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, to update and codify the Extraordinary Circumstances Exception policy, and to solicit feedback through requests for information on future changes to the IPFQR Program.
Key facts
- Document number
- 2025-06298
- Type
- Proposed rule
- Action
- Proposed rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- April 30, 2025
- Comments due
- June 10, 2025
- Dates
- To be assured consideration, comments must be received at one of the addresses provided below, by June 10, 2025.
- Docket
- CMS-1831-P
- Regulation ID (RIN)
- 0938-AV46
- Code of Federal Regulations
- 42 CFR 412
- Topics
- Administrative practice and procedure; Health facilities; Medicare; Puerto Rico; Reporting and recordkeeping requirements
- Significant
- Yes, under Executive Order 12866
- Pages
- 38
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on health facilities · Rules on medicare · Published in April 2025
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