{"abstract":"This final rule updates the prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs) for discharges occurring during the rate year (RY) beginning July 1, 2011 through September 30, 2012. The final rule also changes the IPF prospective payment system (PPS) payment rate update period to a RY that coincides with a fiscal year (FY). In addition, the rule implements policy changes affecting the IPF PPS teaching adjustment. It also rebases and revises the Rehabilitation, Psychiatric, and Long-Term Care (RPL) market basket, and makes some clarifications and corrections to terminology and regulations text.","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/2011/05/06/2011-10562.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42}],"citation":"76 FR 26432","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on July 1, 2011.","disposition_notes":null,"docket_ids":["CMS-1346-F"],"dockets":[],"document_number":"2011-10562","effective_on":"2011-07-01","end_page":26487,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/05/06/2011-10562.xml","html_url":"https://www.federalregister.gov/documents/2011/05/06/2011-10562/medicare-program-inpatient-psychiatric-facilities-prospective-payment-system-update-for-rate-year","images":{"ER06MY11.023":{"large":"https://img.federalregister.gov/ER06MY11.023/ER06MY11.023_large.png","medium":"https://img.federalregister.gov/ER06MY11.023/ER06MY11.023_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.023/ER06MY11.023_original_size.png"},"ER06MY11.034":{"large":"https://img.federalregister.gov/ER06MY11.034/ER06MY11.034_large.png","medium":"https://img.federalregister.gov/ER06MY11.034/ER06MY11.034_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.034/ER06MY11.034_original_size.png"},"ER06MY11.024":{"large":"https://img.federalregister.gov/ER06MY11.024/ER06MY11.024_large.png","medium":"https://img.federalregister.gov/ER06MY11.024/ER06MY11.024_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.024/ER06MY11.024_original_size.png"},"ER06MY11.035":{"large":"https://img.federalregister.gov/ER06MY11.035/ER06MY11.035_large.png","medium":"https://img.federalregister.gov/ER06MY11.035/ER06MY11.035_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.035/ER06MY11.035_original_size.png"},"ER06MY11.032":{"large":"https://img.federalregister.gov/ER06MY11.032/ER06MY11.032_large.png","medium":"https://img.federalregister.gov/ER06MY11.032/ER06MY11.032_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.032/ER06MY11.032_original_size.png"},"ER06MY11.043":{"large":"https://img.federalregister.gov/ER06MY11.043/ER06MY11.043_large.png","medium":"https://img.federalregister.gov/ER06MY11.043/ER06MY11.043_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.043/ER06MY11.043_original_size.png"},"ER06MY11.033":{"large":"https://img.federalregister.gov/ER06MY11.033/ER06MY11.033_large.png","medium":"https://img.federalregister.gov/ER06MY11.033/ER06MY11.033_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.033/ER06MY11.033_original_size.png"},"ER06MY11.044":{"large":"https://img.federalregister.gov/ER06MY11.044/ER06MY11.044_large.png","medium":"https://img.federalregister.gov/ER06MY11.044/ER06MY11.044_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.044/ER06MY11.044_original_size.png"},"ER06MY11.027":{"large":"https://img.federalregister.gov/ER06MY11.027/ER06MY11.027_large.png","medium":"https://img.federalregister.gov/ER06MY11.027/ER06MY11.027_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.027/ER06MY11.027_original_size.png"},"ER06MY11.038":{"large":"https://img.federalregister.gov/ER06MY11.038/ER06MY11.038_large.png","medium":"https://img.federalregister.gov/ER06MY11.038/ER06MY11.038_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.038/ER06MY11.038_original_size.png"},"ER06MY11.028":{"large":"https://img.federalregister.gov/ER06MY11.028/ER06MY11.028_large.png","medium":"https://img.federalregister.gov/ER06MY11.028/ER06MY11.028_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.028/ER06MY11.028_original_size.png"},"ER06MY11.039":{"large":"https://img.federalregister.gov/ER06MY11.039/ER06MY11.039_large.png","medium":"https://img.federalregister.gov/ER06MY11.039/ER06MY11.039_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.039/ER06MY11.039_original_size.png"},"ER06MY11.025":{"large":"https://img.federalregister.gov/ER06MY11.025/ER06MY11.025_large.png","medium":"https://img.federalregister.gov/ER06MY11.025/ER06MY11.025_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.025/ER06MY11.025_original_size.png"},"ER06MY11.036":{"large":"https://img.federalregister.gov/ER06MY11.036/ER06MY11.036_large.png","medium":"https://img.federalregister.gov/ER06MY11.036/ER06MY11.036_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.036/ER06MY11.036_original_size.png"},"ER06MY11.026":{"large":"https://img.federalregister.gov/ER06MY11.026/ER06MY11.026_large.png","medium":"https://img.federalregister.gov/ER06MY11.026/ER06MY11.026_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.026/ER06MY11.026_original_size.png"},"ER06MY11.037":{"large":"https://img.federalregister.gov/ER06MY11.037/ER06MY11.037_large.png","medium":"https://img.federalregister.gov/ER06MY11.037/ER06MY11.037_medium.png","original_size":"https://img.federalregister.gov/ER06MY11.037/ER06MY11.037_original_size.png"},"ER06MY11.029":{"large":"https://img.federalregister.gov/ER06MY11.029/ER06MY11.029_large.png","medium":"https://img.federalregister.gov/ER06MY11.029/ER06MY11.029_medium.png","origi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