{"abstract":"This final action updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPF), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This final action also revises the patient-level adjustment factors, the Emergency Department adjustment, and the payment amount for electroconvulsive therapy. These changes will be effective for IPF discharges occurring during the fiscal year (FY) beginning October 1, 2024 through September 30, 2025 (FY 2025). In addition, this final action finalizes the adoption of a new quality measure. It does not finalize modifications to the reporting requirements under the IPF Quality Reporting Program beginning with the FY 2027 payment determination. Furthermore, this final action summarizes comments received through Requests for Information regarding potential future revisions to the IPF PPS facility-level adjustments and regarding the development of a standardized IPF Patient Assessment Instrument.","action":"Final action.","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/2024/08/07/2024-16909.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42}],"citation":"89 FR 64582","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This final action is effective on October 1, 2024.","disposition_notes":null,"docket_ids":["CMS-1806-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":2,"comment_start_date":"2024-08-07","updated_at":"2024-09-03T17:17:15.148-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2024-0119-0072","allow_late_comments":false,"id":"CMS-2024-0119-0072","comment_end_date":"2024-08-08","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2024-0119","title":"FY 2025 Inpatient Psychiatric Facilities Prospective Payment System – Rate Update CMS-1806-P"}],"document_number":"2024-16909","effective_on":"2024-10-01","end_page":64675,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2024/08/07/2024-16909.xml","html_url":"https://www.federalregister.gov/documents/2024/08/07/2024-16909/medicare-program-fy-2025-inpatient-psychiatric-facilities-prospective-payment-system-rate-update","images":{"ER07AU24.008":{"large":"https://img.federalregister.gov/ER07AU24.008/ER07AU24.008_large.png","medium":"https://img.federalregister.gov/ER07AU24.008/ER07AU24.008_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.008/ER07AU24.008_original_size.png"},"ER07AU24.009":{"large":"https://img.federalregister.gov/ER07AU24.009/ER07AU24.009_large.png","medium":"https://img.federalregister.gov/ER07AU24.009/ER07AU24.009_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.009/ER07AU24.009_original_size.png"},"ER07AU24.006":{"large":"https://img.federalregister.gov/ER07AU24.006/ER07AU24.006_large.png","medium":"https://img.federalregister.gov/ER07AU24.006/ER07AU24.006_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.006/ER07AU24.006_original_size.png"},"ER07AU24.028":{"large":"https://img.federalregister.gov/ER07AU24.028/ER07AU24.028_large.png","medium":"https://img.federalregister.gov/ER07AU24.028/ER07AU24.028_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.028/ER07AU24.028_original_size.png"},"ER07AU24.007":{"large":"https://img.federalregister.gov/ER07AU24.007/ER07AU24.007_large.png","medium":"https://img.federalregister.gov/ER07AU24.007/ER07AU24.007_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.007/ER07AU24.007_original_size.png"},"ER07AU24.029":{"large":"https://img.federalregister.gov/ER07AU24.029/ER07AU24.029_large.png","medium":"https://img.federalregister.gov/ER07AU24.029/ER07AU24.029_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.029/ER07AU24.029_original_size.png"},"ER07AU24.004":{"large":"https://img.federalregister.gov/ER07AU24.004/ER07AU24.004_large.png","medium":"https://img.federalregister.gov/ER07AU24.004/ER07AU24.004_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.004/ER07AU24.004_original_size.png"},"ER07AU24.026":{"large":"https://img.federalregister.gov/ER07AU24.026/ER07AU24.026_large.png","medium":"https://img.federalregister.gov/ER07AU24.026/ER07AU24.026_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.026/ER07AU24.026_original_size.png"},"ER07AU24.005":{"large":"https://img.federalregister.gov/ER07AU24.005/ER07AU24.005_large.png","medium":"https://img.federalregister.gov/ER07AU24.005/ER07AU24.005_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.005/ER07AU24.005_original_size.png"},"ER07AU24.027":{"large":"https://img.federalregister.gov/ER07AU24.027/ER07AU24.027_large.png","medium":"https://img.federalregister.gov/ER07AU24.027/ER07AU24.027_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.027/ER07AU24.027_original_size.png"},"ER07AU24.002":{"large":"https://img.federalregister.gov/ER07AU24.002/ER07AU24.002_large.png","medium":"https://img.federalregister.gov/ER07AU24.002/ER07AU24.002_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.002/ER07AU24.002_original_size.png"},"ER07AU24.024":{"large":"https://img.federalregister.gov/ER07AU24.024/ER07AU24.024_large.png","medium":"https://img.federalregister.gov/ER07AU24.024/ER07AU24.024_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.024/ER07AU24.024_original_size.png"},"ER07AU24.003":{"large":"https://img.federalregister.gov/ER07AU24.003/ER07AU24.003_large.png","medium":"https://img.federalregister.gov/ER07AU24.003/ER07AU24.003_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.003/ER07AU24.003_original_size.png"},"ER07AU24.025":{"large":"https://img.federalregister.gov/ER07AU24.025/ER07AU24.025_large.png","medium":"https://img.federalregister.gov/ER07AU24.025/ER07AU24.025_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.025/ER07AU24.025_original_size.png"},"ER07AU24.000":{"large":"https://img.federalregister.gov/ER07AU24.000/ER07AU24.000_large.png","medium":"https://img.federalregister.gov/ER07AU24.000/ER07AU24.000_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.000/ER07AU24.000_original_size.png"},"ER07AU24.022":{"large":"https://img.federalregister.gov/ER07AU24.022/ER07AU24.022_large.png","medium":"https://img.federalregister.gov/ER07AU24.022/ER07AU24.022_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.022/ER07AU24.022_original_size.png"},"ER07AU24.001":{"large":"https://img.federalregister.gov/ER07AU24.001/ER07AU24.001_large.png","medium":"https://img.federalregister.gov/ER07AU24.001/ER07AU24.001_medium.png","original_size":"https://img.federalregister.gov/ER07AU24.001/ER07AU24.001_original_s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