{"abstract":"This final rule will update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2007 (for discharges occurring on or after October 1, 2006 and on or before September 30, 2007) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). We are revising existing policies regarding the prospective payment system within the authority granted under section 1886(j) of the Act. In addition, we are revising the current regulation text to reflect the changes enacted under section 5005 of the Deficit Reduction Act of 2005. This final rule will also establish certain requirements related to competitive acquisition for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and establish accreditation of DMEPOS suppliers as required under section 302 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2006/08/18/06-6694.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42},{"chapter":null,"citation_url":null,"part":424,"title":42}],"citation":"71 FR 48354","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"The regulatory changes to part 412 of 42 CFR are effective October 1, 2006. The regulatory changes to part 414 of 42 CFR, other than Sec. 414.406(e), are effective August 31, 2006. The regulatory changes to part 424 of 42 CFR are effective October 2, 2006. The updated IRF prospective payment rates are effective October 1, 2006, for discharges occurring on or after October 1, 2006 and on or before September 30, 2007 (that is, during FY 2007).","disposition_notes":null,"docket_ids":["CMS-1540-F"],"dockets":[],"document_number":"06-6694","effective_on":"2006-10-01","end_page":48434,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2006/08/18/06-6694.xml","html_url":"https://www.federalregister.gov/documents/2006/08/18/06-6694/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{"ER18AU06.087":{"large":"https://img.federalregister.gov/ER18AU06.087/ER18AU06.087_large.png","medium":"https://img.federalregister.gov/ER18AU06.087/ER18AU06.087_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.087/ER18AU06.087_original_size.png"},"ER18AU06.086":{"large":"https://img.federalregister.gov/ER18AU06.086/ER18AU06.086_large.png","medium":"https://img.federalregister.gov/ER18AU06.086/ER18AU06.086_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.086/ER18AU06.086_original_size.png"},"ER18AU06.085":{"large":"https://img.federalregister.gov/ER18AU06.085/ER18AU06.085_large.png","medium":"https://img.federalregister.gov/ER18AU06.085/ER18AU06.085_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.085/ER18AU06.085_original_size.png"},"ER18AU06.084":{"large":"https://img.federalregister.gov/ER18AU06.084/ER18AU06.084_large.png","medium":"https://img.federalregister.gov/ER18AU06.084/ER18AU06.084_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.084/ER18AU06.084_original_size.png"},"ER18AU06.083":{"large":"https://img.federalregister.gov/ER18AU06.083/ER18AU06.083_large.png","medium":"https://img.federalregister.gov/ER18AU06.083/ER18AU06.083_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.083/ER18AU06.083_original_size.png"},"ER18AU06.082":{"large":"https://img.federalregister.gov/ER18AU06.082/ER18AU06.082_large.png","medium":"https://img.federalregister.gov/ER18AU06.082/ER18AU06.082_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.082/ER18AU06.082_original_size.png"},"ER18AU06.093":{"large":"https://img.federalregister.gov/ER18AU06.093/ER18AU06.093_large.png","medium":"https://img.federalregister.gov/ER18AU06.093/ER18AU06.093_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.093/ER18AU06.093_original_size.png"},"ER18AU06.092":{"large":"https://img.federalregister.gov/ER18AU06.092/ER18AU06.092_large.png","medium":"https://img.federalregister.gov/ER18AU06.092/ER18AU06.092_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.092/ER18AU06.092_original_size.png"},"ER18AU06.091":{"large":"https://img.federalregister.gov/ER18AU06.091/ER18AU06.091_large.png","medium":"https://img.federalregister.gov/ER18AU06.091/ER18AU06.091_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.091/ER18AU06.091_original_size.png"},"ER18AU06.090":{"large":"https://img.federalregister.gov/ER18AU06.090/ER18AU06.090_large.png","medium":"https://img.federalregister.gov/ER18AU06.090/ER18AU06.090_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.090/ER18AU06.090_original_size.png"},"ER18AU06.089":{"large":"https://img.federalregister.gov/ER18AU06.089/ER18AU06.089_large.png","medium":"https://img.federalregister.gov/ER18AU06.089/ER18AU06.089_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.089/ER18AU06.089_original_size.png"},"ER18AU06.088":{"large":"https://img.federalregister.gov/ER18AU06.088/ER18AU06.088_large.png","medium":"https://img.federalregister.gov/ER18AU06.088/ER18AU06.088_medium.png","original_size":"https://img.federalregister.gov/ER18AU06.088/ER18AU06.088_original_size.png"}},"images_metadata":{"ER18AU06.087":{"large":{"identifier":"ER18AU06.087","content_type":"image/png","size":98054,"width":823,"sha":"03709d73d7c942d9480fe926abdca71d","url":"https://img.federalregister.gov/ER18AU06.087/ER18AU06.087_large.png","height":1102},"medium":{"identifier":"ER18AU06.087","content_type":"image/png","size":48330,"width":536,"sha":"386d45fc19b585daba2479140834c169","url":"https://img.federalregister.gov/ER18AU06.087/ER18AU06.087_medium.png","height":718},"original_size":{"identifier":"ER18AU06.087","content_type":"image/png","size":151159,"width":4054,"sha":"343a05cc4b638871d4eaabfc024b4a87","url":"https://img.federalregister.gov/ER18AU06.087/ER18AU06.087_original_size.png","height":5428}},"ER18AU06.086":{"large":{"identifier":"ER18AU06.086","content_type":"image/png","size":91791,"width":823,"sha":"86cae344b20e03255eecb80bfb996473","url":"https://img.federalregister.gov/ER18AU06.086/ER18AU06.086_large.png","height":1084},"medium":{"identifier":"ER18AU06.086","content_type":"image/png","size":53340,"width":534,"sha":"41612515e913345e3c0bcfabb9d62fa1","url":"https://img.federalregister.gov/ER18AU06.086/ER18AU06.086_medium.png","height":703},"original_size":{"identifier":"ER18AU06.086","content_type":"image/png","size":159514,"width":4036,"sha":"d1eb772579402e5dd608648d0248b09d","url":"https://img.federalregister.gov/ER18AU06.086/ER18AU06.086_original_size.png","height":5316}},"ER18AU06.085":{"large":{"identifier":"ER18AU06.085","content_type":"image/png","size":91078,"width":823,"sha":"ce21b6a782c3df883df7b37877eecfc3","url":"https://img.federalregister.gov/ER18AU06.085/ER18AU06.085_large.png","height":1045},"medium":{"identifier":"ER18AU06.085","content_type":"image/png","size":46761,"width":540,"sha":"61a2a93f4b0cd85e7d435238f2b9c123","url":"https://img.federalregister.gov/ER18AU06.085/ER18AU06.085_medium.png","height":685},"original_size":{"identifier":"ER18AU06.085","content_type":"image/png","size":137944,"width":4078,"sha":"d0c9e390d2eaa1ff4d3091d0b608dd60","url":"https://img.federalregister.gov/ER18AU06.085/ER18AU06.085_original_size.png","height":5176}},"ER18AU06.084":{"large":{"identifier":"ER18AU06.084","content_type":"image/png","size":102179,"width":823,"sha":"f9be891bc7c855400f5b358d7198de14","url":"https://img.federalregister.gov/ER18AU06.084/ER18AU06.084_large.png","height":1088},"medium":{"identifier":"ER18AU06.084","content_type":"image/png","size":51553,"width":535,"sha":"3a91c27591699fd345f79828947a1099","url":"https://img.federalregister.gov/ER18AU06.084/ER18AU06.084_medium.png","height":707},"original_size":{"identifier":"ER18AU06.084","content_type":"image/png","size":156104,"width":4043,"sha":"b411443d9b7611f4f8ecdb23d7d0b106","url":"https://img.federalregister.gov/ER18AU06.084/ER18AU06.084_original_size.png","height":5343}},"ER18AU06.083":{"large":{"identifier":"ER18AU06.083","content_type":"image/png","size":102550,"width":822,"sha":"8b0f53a600d4fcbac37a6cf97e8566e8","url":"https://img.federalregister.gov/ER18AU06.083/ER18AU06.083_large.png","height":1079},"medium":{"identifier":"ER18AU06.083","content_type":"image/png","size":55266,"width":552,"sha":"5ff0c24393c95c9c5a77add15e501399","url":"https://img.federalregister.gov/ER18AU06.083/ER18AU06.083_medium.png","height":725},"original_size":{"identifier":"ER18AU06.083","content_type":"image/png","size":168195,"width":4171,"sha":"55585bd1afb440f48b39f06707c5d865","url":"https://img.federalregister.gov/ER18AU06.083/ER18AU06.083_original_size.png","height":5476}},"ER18AU06.082":{"large":{"identifier":"ER18AU06.082","content_type":"image/png","size":74484,"width":823,"sha":"35bc795130350b20fc784540937932fc","url":"https://img.federalregister.gov/ER18AU06.082/ER18AU06.082_large.png","height":825},"medium":{"identifier":"ER18AU06.082","content_type":"image/png","size":37397,"width":545,"sha":"31dac3846a6ed929d5abf7d204d802b4","url":"https://img.federalregister.gov/ER18AU06.082/ER18AU06.082_medium.png","height":547},"original_size":{"identifier":"ER18AU06.082","content_type":"image/png","size":124298,"width":4124,"sha":"2de6f96156c4210a791b8d2cf63543f0","url":"https://img.federalregister.gov/ER18AU06.082/ER18AU06.082_original_size.png","height":4136}},"ER18AU06.093":{"large":{"identifier":"ER18AU06.093","content_type":"image/png","size":138765,"width":823,"sha":"060b83deef77b42ba0ae9cf7b5959797","url":"https://img.federalregister.gov/ER18AU06.093/ER18AU06.093_large.png","height":1251},"medium":{"identifier":"ER18AU06.093","content_type":"image/png","size":78110,"width":574,"sha":"4e9c44f734740bd55d924344fa2244af","url":"https://img.federalregister.gov/ER18AU06.093/ER18AU06.093_medium.png","height":872},"original_size":{"identifier":"ER18AU06.093","content_type":"image/png","size":251256,"width":4474,"sha":"0e5715f034be7b6cd36a3f2644582303","url":"https://img.federalregister.gov/ER18AU06.093/ER18AU06.093_original_size.png","height":6799}},"ER18AU06.092":{"large":{"identifier":"ER18AU06.092","content_type":"image/png","size":79477,"width":822,"sha":"284bd683ddc893359ef0628a5c11ff0e","url":"https://img.federalregister.gov/ER18AU06.092/ER18AU06.092_large.png","height":838},"medium":{"identifier":"ER18AU06.092","content_type":"image/png","size":41617,"width":532,"sha":"a5723ac9a0a65ef91179042141de9617","url":"https://img.federalregister.gov/ER18AU06.092/ER18AU06.092_medium.png","height":543},"original_size":{"identifier":"ER18AU06.092","content_type":"image/png","size":132910,"width":4021,"sha":"4a695e6facc1a9cf9af63f011a1e5af8","url":"https://img.federalregister.gov/ER18AU06.092/ER18AU06.092_original_size.png","height":4101}},"ER18AU06.091":{"large":{"identifier":"ER18AU06.091","content_type":"image/png","size":37168,"width":823,"sha":"792a0fe1ed7e1f44054f73079a544b98","url":"https://img.federalregister.gov/ER18AU06.091/ER18AU06.091_large.png","height":416},"medium":{"identifier":"ER18AU06.091","content_type":"image/png","size":16334,"width":447,"sha":"091f1956d18089aa8d5e26da874115d9","url":"https://img.federalregister.gov/ER18AU06.091/ER18AU06.091_medium.png","height":226},"original_size":{"identifier":"ER18AU06.091","content_type":"image/png","size":53433,"width":3382,"sha":"a7cf143a71b0791eedf8cd32993406b6","url":"https://img.federalregister.gov/ER18AU06.091/ER18AU06.091_original_size.png","height":1709}},"ER18AU06.090":{"large":{"identifier":"ER18AU06.090","content_type":"image/png","size":156427,"width":823,"sha":"35a9953b2cb3fe861fcd89c0f5e6c479","url":"https://img.federalregister.gov/ER18AU06.090/ER18AU06.090_large.png","height":1301},"medium":{"identifier":"ER18AU06.090","content_type":"image/png","size":63770,"width":450,"sha":"d91253de6b4a9cdf7864de0fd66b12d7","url":"https://img.federalregister.gov/ER18AU06.090/ER18AU06.090_medium.png","height":711},"original_size":{"identifier":"ER18AU06.090","content_type":"image/png","size":233106,"width":3403,"sha":"0cab452cfe8d69490021f1d0782844a8","url":"https://img.federalregister.gov/ER18AU06.090/ER18AU06.090_original_size.png","height":5379}},"ER18AU06.089":{"large":{"identifier":"ER18AU06.089","content_type":"image/png","size":231071,"width":823,"sha":"141ddf7acd3c06083299d947c578b827","url":"https://img.federalregister.gov/ER18AU06.089/ER18AU06.089_large.png","height":1822},"medium":{"identifier":"ER18AU06.089","content_type":"image/png","size":105042,"width":465,"sha":"89e68a5de5b40a99e01a4082a93a30e3","url":"https://img.federalregister.gov/ER18AU06.089/ER18AU06.089_medium.png","height":1029},"original_size":{"identifier":"ER18AU06.089","content_type":"image/png","size":388878,"width":3506,"sha":"d7df9c9e2f3c72c6fac66e447c559274","url":"https://img.federalregister.gov/ER18AU06.089/ER18AU06.089_original_size.png","height":7765}},"ER18AU06.088":{"large":{"identifier":"ER18AU06.088","content_type":"image/png","size":55925,"width":823,"sha":"909efad652d52968273ee15dede84dbc","url":"https://img.federalregister.gov/ER18AU06.088/ER18AU06.088_large.png","height":657},"medium":{"identifier":"ER18AU06.088","content_type":"image/png","size":29027,"width":541,"sha":"35285dc46f79717f44c1bcb79d4f0f0e","url":"https://img.federalregister.gov/ER18AU06.088/ER18AU06.088_medium.png","height":432},"original_size":{"identifier":"ER18AU06.088","content_type":"image/png","size":84005,"width":4086,"sha":"b16e06ea65ee969e59a0d64814c5390b","url":"https://img.federalregister.gov/ER18AU06.088/ER18AU06.088_original_size.png","height":3262}}},"json_url":"https://www.federalregister.gov/api/v1/documents/06-6694?publication_date=2006-08-18","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2006-08-18/06-6694/mods.xml","not_received_for_publication":null,"page_length":81,"page_views":{"count":1013,"last_updated":"2026-10-22 22:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2006-08-18/pdf/06-6694.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2006-08-18","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2006/08/18/06-6694.txt","regulation_id_number_info":{"0938-AO16":null},"regulation_id_numbers":["0938-AO16"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-11-12T19:54:48Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":48354,"subtype":null,"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2007; Certain Provisions Concerning Competitive Acquisition for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); Accreditation of DMEPOS Suppliers","toc_doc":"Inpatient rehabilitation facility prospective payment system (2007 FY)","toc_subject":"Medicare program:","topics":["Administrative practice and procedure","Emergency medical services","Health facilities","Health professions","Kidney diseases","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":71}