CMS: Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update

Federal Register

Apr 3, 2024

Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2025 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. Includes proposed revisions to the patient-level adjustment factors, the Emergency Department adjustment, and the payment amount for electroconvulsive therapy; and seeks to adopt a new quality measure and modify reporting requirements under the IPF Quality Reporting Program beginning with the FY 2027 payment determination. Seeks comments regarding potential future revisions to the IPF prospective payment system (PPS) facility-level adjustments and the development of a standardized IPF Patient Assessment Instrument. Comments are due by May 28, 2024.

Behavioral health · Healthcare business and finance · Healthcare facilities · Healthcare quality · Legislation and regulations · Medicare · Reimbursement and payment models