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

CMS has finalized updated Medicare payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year 2027, including revised case-mix group weights and prospective payment methodologies. The rule completes the three-year elimination of the rural payment adjustment and introduces new timelines requiring therapy treatments or evaluations to begin within 36 hours of midnight on the admission date, with the initial interdisciplinary team meeting occurring by day four. The rule also updates the IRF Quality Reporting Program and invites public comment on possible future IRF payment reform.

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