Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program
Key claim: CMS finalized FY 2027 Inpatient Rehabilitation Facility PPS payment rates, completed the three-year rural adjustment phaseout, tightened therapy and interdisciplinary-team timing rules, and updated the IRF Quality Reporting Program and DMEPOS Competitive Bidding Program.
Abstract
(Rule · Health and Human Services Department, Centers for Medicare & Medicaid Services) This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2027. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system’s (PPS) case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2027. It also finalizes the third and final of the 3-year phaseout of the rural adjustment, which began in FY 2025. This final rule includes a solicitation for public comments on alternative data sources for the IRF PPS wage index; requires all therapy treatments and/or therapy evaluations to begin no later than 36 hours from midnight on the day of admission; finalizes requirements for the initial Interdisciplinary Team meeting to occur on or before 4 days from the date the patient is admitted; and summarizes a request for information on potential future IRF PPS payment reform. Additionally, this final rule includes updates to the IRF Quality Reporting Program and changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.
Why this matters
CMS finalized FY 2027 Inpatient Rehabilitation Facility PPS payment rates, completed the three-year rural adjustment phaseout, tightened therapy and interdisciplinary-team timing rules, and updated the IRF Quality Reporting Program and DMEPOS Competitive Bidding Program.