Data / Federal rules / 2025-14781
Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on August 5, 2025. It took effect on October 1, 2025.
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What the agency says
This final rule updates 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 final rule also revises the payment adjustment factors for teaching status and for IPFs located in rural areas. These changes will be effective for IPF discharges occurring during the fiscal year beginning October 1, 2025, through September 30, 2026. We are finalizing changes to measures used in the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, updating and codifying the Extraordinary Circumstances Exception policy, and summarizing comments received through requests for information regarding future changes to the IPFQR Program.
Key facts
- Document number
- 2025-14781
- Type
- Final rule
- Action
- Final rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- August 5, 2025
- Takes effect
- October 1, 2025
- Dates
- These regulations are effective October 1, 2025.
- Docket
- CMS-1831-F
- 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
- 49
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 August 2025
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.