{"abstract":"This proposed rule would update the prospective payment rates 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. These changes would be effective for IPF discharges occurring during the fiscal year (FY) beginning October 1, 2018 through September 30, 2019 (FY 2019). This rule also proposes to update the IPF labor- related share, to update the IPF wage index for FY 2019, update the International Classification of Diseases 10th Revision, Clinical Modification (ICD-10-CM) codes for FY 2019, make technical corrections to the IPF regulations, and update quality measures and reporting requirements under the Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program. In addition, it would update providers on the status of IPF PPS refinements. Finally, this proposed rule includes a Request for Information related to health information technology.","action":"Proposed 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/2018/05/08/2018-09069.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42}],"citation":"83 FR 21104","comment_url":null,"comments_close_on":"2018-06-26","correction_of":null,"corrections":[],"dates":"Comment Date: To be assured consideration, comments must be received at one of the addresses provided in the ADDRESSES section, no later than 5 p.m. on June 26, 2018.","disposition_notes":null,"docket_ids":["CMS-1690-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":88,"comment_start_date":"2018-05-08","updated_at":"2023-02-28T14:54:46.895-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2018-0053-0002","allow_late_comments":null,"id":"CMS-2018-0053-0002","comment_end_date":"2018-06-27","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2018-0053","title":"FY 2019 Inpatient Psychiatric Facilities Prospective Payment System – Rate Update CMS-1690-P"}],"document_number":"2018-09069","effective_on":null,"end_page":21138,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2018/05/08/2018-09069.xml","html_url":"https://www.federalregister.gov/documents/2018/05/08/2018-09069/medicare-program-fy-2019-inpatient-psychiatric-facilities-prospective-payment-system-and-quality","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2018-09069?publication_date=2018-05-08","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2018-05-08/2018-09069/mods.xml","not_received_for_publication":null,"page_length":35,"page_views":{"count":4485,"last_updated":"2026-09-21 04:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-05-08/pdf/2018-09069.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2018-09069.pdf?1524860119","publication_date":"2018-05-08","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2018/05/08/2018-09069.txt","regulation_id_number_info":{"0938-AT32":{"issue":"201804","html_url":"https://www.federalregister.gov/regulations/0938-AT32/fy-2019-inpatient-psychiatric-facilities-prospective-payment-system-rate-and-quality-reporting-updat","title":"FY 2019 Inpatient Psychiatric Facilities Prospective Payment System--Rate and Quality Reporting Updates (CMS-1690-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201804&RIN=0938-AT32&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AT32"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT32/fy-2019-inpatient-psychiatric-facilities-prospective-payment-system-rate-and-quality-reporting-updat","title":"FY 2019 Inpatient Psychiatric Facilities Prospective Payment System--Rate and Quality Reporting Updates (CMS-1690-P)"},"comments_count":88,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2018-0053","supporting_documents_count":0,"docket_id":"CMS-2018-0053","document_id":"CMS-2018-0053-0002","regulation_id_number":"0938-AT32","title":"FY 2019 Inpatient Psychiatric Facilities Prospective Payment System – Rate Update CMS-1690-P","checked_regulationsdotgov_at":"2023-02-28T19:54:45Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":21104,"subtype":null,"title":"Medicare Program; FY 2019 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2018 (FY 2019)","toc_doc":"FY 2019 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2018 (FY 2019)","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":83}