Data / Federal rules / 2026-06642
Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program
The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on April 6, 2026. Comments closed on June 1, 2026.
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What the agency says
This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2027. As required by statute, this proposed rule includes the classification and weighting factors for the IRF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2027. It also continues the third year of the 3-year phaseout of the rural adjustment, which began in FY 2025. This proposed rule includes a solicitation for public comments on alternative data sources for the IRF PPS wage index; proposes to require all therapy treatments or therapy evaluations to begin within 36-hours from midnight on the day of admission; proposes to require a patient's current functional status be documented on the preadmission screening; proposes requirements for the initial Interdisciplinary Team meeting; and includes a request for information on potential future IRF PPS payment reform. Additionally, the proposed rule includes updates to the IRF Quality Reporting Program. Furthermore, the proposed rule includes changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program.
Key facts
- Document number
- 2026-06642
- Type
- Proposed rule
- Action
- Proposed rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- April 6, 2026
- Comments due
- June 1, 2026
- Dates
- To be assured consideration, comments must be received at one of the addresses provided below by June 1, 2026.
- Docket
- CMS-1845-P
- Regulation ID (RIN)
- 0938-AV76
- Code of Federal Regulations
- 42 CFR 412; 42 CFR 414
- Topics
- Administrative practice and procedure; Biologics; Diseases; Drugs; Health facilities; Health professions; Medicare; Puerto Rico; Reporting and recordkeeping requirements
- Pages
- 36
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 biologics · Rules on diseases · Published in April 2026
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