CHA News Article

CMS Issues Inpatient Rehabilitation Facility PPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has issued the attached proposed rule for the federal fiscal year (FFY) 2017 inpatient rehabilitation facility prospective payment system (IRF PPS). CMS proposes a rate update of 1.45 percent, reflecting a 2.7 percent specific market basket update increase, reduced by a 0.5 percent productivity adjustment and the mandated 0.75 percent reduction. CMS estimates that aggregate payments to IRFs will increase 1.6 percent, or $125 million, as compared to payments in FFY 2016.

To meet the requirements of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act, CMS proposes four new claims-based measures for the IRF quality reporting program for FFYs 2018 and 2020 payment determinations, and one new assessment-based quality measure for inclusion in the FFY 2020 quality reporting program. CMS also proposes to add four new measures for public reporting by fall 2017.

CHA is currently reviewing the proposed rule and will provide members with a more detailed summary in the coming weeks. CHA will host a members-only call discussion forum on June 13 at noon (PT) to discuss these important provisions and to solicit member input. Comments on the proposed rule are due June 20. A fact sheet is available on the CMS website.