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

What it does

This final rule updates 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 final rule also refines the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) outlier policy. These changes will be effective for IPF discharges occurring during the fiscal year beginning October 1, 2026, through September 30, 2027. We are also finalizing the implementation of a standardized IPF patient assessment instrument, and removing 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 changed in the regulation

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

42 CFR 412

Wording on eCFR: the day before it took effect and from the day it took effect (first part listed).

Compared with

The Centers for Medicare & Medicaid Services has published 24 final rules in 2026 so far, compared with 12 in all of 2025.

Counted by the Tribune from Federal Register records since Jan. 1, 2025.

Before this

1 earlier Federal Register document under regulation identifier 0938-AV77 since Jan. 1, 2025.

• April 7, 2026 Proposed rule. Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update

Since then:

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

What happens next and when

These regulations are effective October 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