{"abstract":"This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2023. 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 2023. In addition, this final rule codifies CMS' existing teaching status adjustment policy through amendments to the regulation text and updates and clarifies the IRF teaching policy with respect to IRF hospital closures and displaced residents. This rule establishes a permanent cap policy to smooth the impact of year-to-year changes in IRF payments related to decreases in the IRF wage index. This final rule also includes updates for the IRF Quality Reporting Program (QRP).","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/2022/08/01/2022-16225.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42}],"citation":"87 FR 47038","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on October 1, 2022.","disposition_notes":null,"docket_ids":["CMS-1767-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":null,"comment_start_date":null,"updated_at":"2023-02-27T22:05:09.980-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2022-0061-0065","allow_late_comments":null,"id":"CMS-2022-0061-0065","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2022-0061","title":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program (CMS-1767-P)"}],"document_number":"2022-16225","effective_on":"2022-10-01","end_page":47092,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2022/08/01/2022-16225.xml","html_url":"https://www.federalregister.gov/documents/2022/08/01/2022-16225/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{"ER01AU22.003":{"large":"https://img.federalregister.gov/ER01AU22.003/ER01AU22.003_large.png","medium":"https://img.federalregister.gov/ER01AU22.003/ER01AU22.003_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.003/ER01AU22.003_original_size.png"},"ER01AU22.014":{"large":"https://img.federalregister.gov/ER01AU22.014/ER01AU22.014_large.png","medium":"https://img.federalregister.gov/ER01AU22.014/ER01AU22.014_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.014/ER01AU22.014_original_size.png"},"ER01AU22.002":{"large":"https://img.federalregister.gov/ER01AU22.002/ER01AU22.002_large.png","medium":"https://img.federalregister.gov/ER01AU22.002/ER01AU22.002_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.002/ER01AU22.002_original_size.png"},"ER01AU22.013":{"large":"https://img.federalregister.gov/ER01AU22.013/ER01AU22.013_large.png","medium":"https://img.federalregister.gov/ER01AU22.013/ER01AU22.013_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.013/ER01AU22.013_original_size.png"},"ER01AU22.001":{"large":"https://img.federalregister.gov/ER01AU22.001/ER01AU22.001_large.png","medium":"https://img.federalregister.gov/ER01AU22.001/ER01AU22.001_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.001/ER01AU22.001_original_size.png"},"ER01AU22.012":{"large":"https://img.federalregister.gov/ER01AU22.012/ER01AU22.012_large.png","medium":"https://img.federalregister.gov/ER01AU22.012/ER01AU22.012_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.012/ER01AU22.012_original_size.png"},"ER01AU22.000":{"large":"https://img.federalregister.gov/ER01AU22.000/ER01AU22.000_large.png","medium":"https://img.federalregister.gov/ER01AU22.000/ER01AU22.000_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.000/ER01AU22.000_original_size.png"},"ER01AU22.011":{"large":"https://img.federalregister.gov/ER01AU22.011/ER01AU22.011_large.png","medium":"https://img.federalregister.gov/ER01AU22.011/ER01AU22.011_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.011/ER01AU22.011_original_size.png"},"ER01AU22.010":{"large":"https://img.federalregister.gov/ER01AU22.010/ER01AU22.010_large.png","medium":"https://img.federalregister.gov/ER01AU22.010/ER01AU22.010_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.010/ER01AU22.010_original_size.png"},"ER01AU22.020":{"large":"https://img.federalregister.gov/ER01AU22.020/ER01AU22.020_large.png","medium":"https://img.federalregister.gov/ER01AU22.020/ER01AU22.020_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.020/ER01AU22.020_original_size.png"},"ER01AU22.009":{"large":"https://img.federalregister.gov/ER01AU22.009/ER01AU22.009_large.png","medium":"https://img.federalregister.gov/ER01AU22.009/ER01AU22.009_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.009/ER01AU22.009_original_size.png"},"ER01AU22.008":{"large":"https://img.federalregister.gov/ER01AU22.008/ER01AU22.008_large.png","medium":"https://img.federalregister.gov/ER01AU22.008/ER01AU22.008_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.008/ER01AU22.008_original_size.png"},"ER01AU22.019":{"large":"https://img.federalregister.gov/ER01AU22.019/ER01AU22.019_large.png","medium":"https://img.federalregister.gov/ER01AU22.019/ER01AU22.019_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.019/ER01AU22.019_original_size.png"},"ER01AU22.007":{"large":"https://img.federalregister.gov/ER01AU22.007/ER01AU22.007_large.png","medium":"https://img.federalregister.gov/ER01AU22.007/ER01AU22.007_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.007/ER01AU22.007_original_size.png"},"ER01AU22.018":{"large":"https://img.federalregister.gov/ER01AU22.018/ER01AU22.018_large.png","medium":"https://img.federalregister.gov/ER01AU22.018/ER01AU22.018_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.018/ER01AU22.018_original_size.png"},"ER01AU22.006":{"large":"https://img.federalregister.gov/ER01AU22.006/ER01AU22.006_large.png","medium":"https://img.federalregister.gov/ER01AU22.006/ER01AU22.006_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.006/ER01AU22.006_original_size.png"},"ER01AU22.017":{"large":"https://img.federalregister.gov/ER01AU22.017/ER01AU22.017_large.png","medium":"https://img.federalregister.gov/ER01AU22.017/ER01AU22.017_medium.png","original_size":"https://img.federalregister.gov/ER01AU22.017/ER01AU22.017_original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