{"abstract":"This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF's \"60 percent rule\" compliance calculation to determine \"presumptive compliance,\" update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.","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/2013/08/06/2013-18770.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42}],"citation":"78 FR 47860","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Dates: The regulatory amendments in this rule are effective October 1, 2013, except for the amendment to Sec. 412.25 which is effective October 1, 2014.","disposition_notes":null,"docket_ids":["CMS-1448-F"],"dockets":[],"document_number":"2013-18770","effective_on":"2013-10-01","end_page":47934,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/08/06/2013-18770.xml","html_url":"https://www.federalregister.gov/documents/2013/08/06/2013-18770/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-18770?publication_date=2013-08-06","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-08-06/2013-18770/mods.xml","not_received_for_publication":null,"page_length":75,"page_views":{"count":8864,"last_updated":"2026-09-21 14:15:06 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-08-06/pdf/2013-18770.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-18770.pdf?1375301829","publication_date":"2013-08-06","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/08/06/2013-18770.txt","regulation_id_number_info":{"0938-AR66":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/0938-AR66/prospective-payment-system-for-inpatient-rehabilitation-facilities-for-fy-2014-cms-1448-f-","title":"Prospective Payment System for Inpatient Rehabilitation Facilities for FY 2014 (CMS-1448-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0938-AR66&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR66"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"Addendum for IRF PPS","document_id":"CMS-2013-0089-0051"}],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AR66/prospective-payment-system-for-inpatient-rehabilitation-facilities-for-fy-2014-cms-1448-f-","title":"Prospective Payment System for Inpatient Rehabilitation Facilities for FY 2014 (CMS-1448-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2013-0089","supporting_documents_count":1,"docket_id":"CMS-2013-0089","regulation_id_number":"0938-AR66","title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014 (CMS-1448-P)","checked_regulationsdotgov_at":"2013-08-26T06:00:09Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":47860,"subtype":null,"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014","toc_doc":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":78}