CMS: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2027 and Updates to the IRF Quality Reporting Program

Federal Register

Apr 6, 2026

Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) seeking comments on updates to the prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) for fiscal year 2027. Among other things, this rule proposes classification and weighting factors for the IRF prospective payment system's case-mix groups, continues the third year of the 3-year phase-out of the rural adjustments, and includes proposals for the IRF Quality Reporting Program. CMS also seeks comments on alternative data sources for the IRF PPS wage index, potential future IRF PPS payment reform, and more. Comments are due June 1, 2026.

Healthcare quality · Hospitals · Inpatient care · Legislation and regulations · Medicare · Post-acute care · Reimbursement and payment models