{"abstract":"This final rule with comment period finalizes certain provisions of the fiscal year 2022 IPPS/LTCH PPS proposed rule. These provisions implement policies based on legislative changes relative to Medicare graduate medical education (GME) for teaching hospitals provided by sections 126, 127, and 131 of the Consolidated Appropriations Act (CAA), 2021; and changes, clarifications, and codifications for Medicare organ acquisition payment policies relative to organ procurement organizations (OPOs), transplant hospitals, and donor community hospitals. In addition, this final rule with comment period solicits comments on certain GME issues to inform potential future rulemaking","action":"Final rule with comment period.","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/2021/12/27/2021-27523.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42},{"chapter":null,"citation_url":null,"part":"413","title":42}],"citation":"86 FR 73416","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":["https://www.federalregister.gov/api/v1/documents/C1-2021-27523"],"dates":"Effective date: This final rule with comment period is effective February 25, 2022.","disposition_notes":null,"docket_ids":["CMS-1752-FC3"],"dockets":[],"document_number":"2021-27523","effective_on":null,"end_page":73519,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2021/12/27/2021-27523.xml","html_url":"https://www.federalregister.gov/documents/2021/12/27/2021-27523/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-changes-to","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2021-27523?publication_date=2021-12-27","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2021-12-27/2021-27523/mods.xml","not_received_for_publication":null,"page_length":104,"page_views":{"count":6498,"last_updated":"2026-07-26 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-12-27/pdf/2021-27523.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-27523.pdf?1639775729","publication_date":"2021-12-27","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2021/12/27/2021-27523.txt","regulation_id_number_info":{"0938-AU44":{"issue":"202104","html_url":"https://www.federalregister.gov/regulations/0938-AU44/hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-the-long-term-care-hospital-","title":"Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; the Long-Term Care Hospital Prospective Payment System; and FY 2022 Rates (CMS-1752)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202104&RIN=0938-AU44&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AU44"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AU44/hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-the-long-term-care-hospital-","title":"Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; the Long-Term Care Hospital Prospective Payment System; and FY 2022 Rates (CMS-1752)"},"comments_count":30,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2021-0070","supporting_documents_count":0,"docket_id":"CMS-2021-0070","document_id":"CMS-2021-0070-6388","regulation_id_number":"0938-AU44","title":"Hospital Inpatient Prospective Payment System for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2022 Rates (1752-P)","checked_regulationsdotgov_at":"2022-02-26T05:59:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":73416,"subtype":null,"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; Changes to Medicare Graduate Medical Education Payments for Teaching Hospitals; Changes to Organ Acquisition Payment Policies","toc_doc":"Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; Changes to Medicare Graduate Medical Education Payments for Teaching Hospitals; Changes to Organ Acquisition Payment Policies","toc_subject":"Medicare Program:\n","topics":["Administrative practice and procedure","Diseases","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":86}