Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update

What it does

This rulemaking proposes to update the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This rulemaking also proposes refinement of the IPF PPS outlier policy. These changes would be effective for IPF discharges occurring during the fiscal year beginning October 1, 2026, through September 30, 2027. We are also proposing the implementation of a standardized IPF patient assessment instrument, and the removal of two measures used in the Inpatient Psychiatric Facilities Quality Reporting Program.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What it would change

1 part of Title 42 of the Code of Federal Regulations:

42 CFR 412

Before this

No earlier Federal Register document under regulation identifier 0938-AV77 since Jan. 1, 2025.

Since then:

• July 31, 2026 Final rule. Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
• Oct. 1, 2026 Final rule; correction. Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update; Correction

What happens next and when

To be assured consideration, comments must be received at one of the addresses provided below by June 1, 2026.

The agency's dates, word for word.

Check it yourself

• The document in the Federal Register
• Docket CMS-2026-1123 on Regulations.gov
• Title 42 on eCFR

The record as published

Source: the Federal Register (public domain). The document in the Federal Register