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HHS/CMS

RIN: 0938-AS99

Publication ID: Fall 2016

Title: ●FY 2018 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (CMS-1671-P)
Abstract: This annual proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for fiscal year 2018.
Agency: Department of Health and Human Services(HHS)	Priority: Economically Significant
RIN Status: First time published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
Major: Yes	Unfunded Mandates: Undetermined
CFR Citation: 42 CFR 412
Legal Authority: 42 U.S.C. 1302 42 U.S.C. 1395hh

Legal Deadline:

Action	Source	Description	Date
Final	Statutory		08/01/2017

Statement of Need:

This proposed rule would update the prospective payment rates for IRFs for as required under the Social Security Act (the Act). As required by the Act, this rule includes the classification and weighting factors for the IRF PPS’s case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2018. This rule also proposes revisions and updates to the quality measures and reporting requirements under the IRF QRP.

Summary of the Legal Basis:

The IRF prospective payment rates are updated as required under section 1886(j)(3)(C) of the Act. It responds to section 1886(j)(5) of the Act, which requires the Secretary to, on or before the August 1 that precedes the start of each fiscal year, publish the classification and weighting factors for the IRF PPS’s case-mix groups and a description of the methodology and data used in computing the prospective payment rates for that fiscal year.

Alternatives:

None. This is a statutory requirement.

Anticipated Costs and Benefits:

Total expenditures will be adjusted for FY 2018.

Risks:

If this regulation is not published timely, IRF services will not be paid appropriately beginning October 1, 2017.

Timetable:

Action	Date	FR Cite
NPRM	04/00/2017

Regulatory Flexibility Analysis Required: Undetermined	Government Levels Affected: Undetermined
Federalism: No
Included in the Regulatory Plan: Yes
RIN Data Printed in the FR: No
Agency Contact: Gwendolyn Johnson Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Medicare, MS: C5-06-27, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-6954 Email: gwendolyn.johnson@cms.hhs.gov