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RuleSignificant2023-160502023-08-02

Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2024 and Updates to the IRF Quality Reporting Program

Health and Human Services Department, Centers for Medicare & Medicaid Services

Abstract

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2024. As required by statute, this final 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 2024. It also rebases and revises the IRF market basket to reflect a 2021 base year. It also confirms when IRF units can become excluded and paid under the IRF PPS. This rule also includes updates for the IRF Quality Reporting Program (QRP).

Action & Dates

Action
Final rule.
Dates
Effective date: These regulations are effective on October 1, 2023.
Effective Date
2023-10-01

CFR References

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Part 412 [CMS-1781-F] RIN 0938-AV04 ( printed page 50956) AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule. SUMMARY: This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2024. As required by statute, this final 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 2024. It also rebases and revises the IRF market basket to reflect a 2021 base year. It also confirms when IRF units can become excluded and paid under the IRF PPS. This rule also includes updates for the IRF Quality Reporting Program (QRP). DATES: Effective date: These regulations are effective on October 1, 2023. Applicability dates: The updated IRF prospective payment rates are applicable for IRF discharges occurring on or after October 1, 2023, and on or before September 30, 2024 (FY 2024). FOR FURTHER INFORMATION CONTACT: Kim Schwartz, (410) 786-2571, for general information. Catie Cooksey, (410) 786-0179, for information about the IRF payment policies and payment rates. Kim Schwartz, (410) 786-2571, for information about the IRF coverage policies. Ariel Cress, (410) 786-8571, for information about the IRF quality reporting program. SUPPLEMENTARY INFORM

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Full Document

Citation: 88 FR 50956