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

Federal Register

Jul 30, 2026

Pre-publication notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating the prospective payment system (PPS) rates for inpatient rehabilitation facilities (IRFs) for fiscal year 2027. Among other things, this rule includes classification and weighting factors for the IRF prospective payment system's case-mix groups, finalizes the third and final year of the 3-year phase-out of the rural adjustments, and updates the IRF Quality Reporting Program and changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. This rule also summarizes comments received in response to requests for information regarding alternative data sources for the IRF PPS wage index and potential future IRF PPS payment reform. These regulations are effective October 1, 2026.

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