{"abstract":"This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2021. As required by statute, this final rule includes the classification and weighting factors for the IRF prospective payment system's case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2021. This final rule adopts more recent Office of Management and Budget statistical area delineations and applies a 5 percent cap on any wage index decreases compared to FY 2020 in a budget neutral manner. This final rule also amends the IRF coverage requirements to remove the post-admission physician evaluation requirement and codifies existing documentation instructions and guidance. In addition, this final rule amends the IRF coverage requirements to allow, beginning with the second week of admission to the IRF, a non-physician practitioner who is determined by the IRF to have specialized training and experience in inpatient rehabilitation to conduct 1 of the 3 required face-to-face visits with the patient per week, provided that such duties are within the non-physician practitioner's scope of practice under applicable state law.","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/2020/08/10/2020-17209.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42}],"citation":"85 FR 48424","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on October 1, 2020.","disposition_notes":null,"docket_ids":["CMS-1729-F"],"dockets":[],"document_number":"2020-17209","effective_on":"2020-10-01","end_page":48463,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2020/08/10/2020-17209.xml","html_url":"https://www.federalregister.gov/documents/2020/08/10/2020-17209/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2020-17209?publication_date=2020-08-10","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2020-08-10/2020-17209/mods.xml","not_received_for_publication":null,"page_length":40,"page_views":{"count":41735,"last_updated":"2026-08-23 18:15:06 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-08-10/pdf/2020-17209.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-17209.pdf?1596572115","publication_date":"2020-08-10","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2020/08/10/2020-17209.txt","regulation_id_number_info":{"0938-AU05":{"issue":"202004","html_url":"https://www.federalregister.gov/regulations/0938-AU05/fy-2021-inpatient-rehabilitation-facility-irf-prospective-payment-system-rate-update-cms-1729-","title":"FY 2021 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Rate Update (CMS-1729)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202004&RIN=0938-AU05&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AU05"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AU05/fy-2021-inpatient-rehabilitation-facility-irf-prospective-payment-system-rate-update-cms-1729-","title":"FY 2021 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Rate Update (CMS-1729)"},"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2020-0039","supporting_documents_count":0,"docket_id":"CMS-2020-0039","document_id":"CMS-2020-0039-2672","regulation_id_number":"0938-AU05","title":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021 (CMS-1729-P)","checked_regulationsdotgov_at":"2020-08-12T08:30:08Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":48424,"subtype":null,"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021","toc_doc":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021","toc_subject":"Medicare Program:\n","topics":["Administrative practice and procedure","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":85}