{"abstract":"This interim final action with comment period (IFC) implements revised Medicare wage index values for FY 2025, establishes a transitional payment exception for low wage hospitals significantly impacted by those revisions, and makes conforming changes to the hospital Inpatient Prospective Payment System (IPPS) payment rates for FY 2025. These changes reflect the removal of the low wage index hospital policy following the appellate court decision in Bridgeport Hosp. v. Becerra. This rule also makes conforming changes to IPPS rates and factors used to determine certain payments under the Long-Term Care Hospital Prospective Payment System (LTCH PPS).","action":"Interim final action 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/2024/10/03/2024-22765.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42}],"citation":"89 FR 80405","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: This action is effective on September 30, 2024.","disposition_notes":null,"docket_ids":["CMS-1808-IFC"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":32,"comment_start_date":"2024-09-30","updated_at":"2024-11-30T00:01:14.791-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2024-0131-6017","allow_late_comments":false,"id":"CMS-2024-0131-6017","comment_end_date":"2024-11-30","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2024-0131","title":"Medicare and Medicaid Programs; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; and Other Policy Changes  (CMS-1808-P)"}],"document_number":"2024-22765","effective_on":"2024-09-30","end_page":80421,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2024/10/03/2024-22765.xml","html_url":"https://www.federalregister.gov/documents/2024/10/03/2024-22765/medicare-program-changes-to-the-fiscal-year-2025-hospital-inpatient-prospective-payment-system-ipps","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2024-22765?publication_date=2024-10-03","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2024-10-03/2024-22765/mods.xml","not_received_for_publication":null,"page_length":17,"page_views":{"count":4670,"last_updated":"2026-09-21 02:15:06 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-10-03/pdf/2024-22765.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-22765.pdf?1727727324","publication_date":"2024-10-03","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2024/10/03/2024-22765.txt","regulation_id_number_info":{"0938-AV34":{"issue":"202404","html_url":"https://www.federalregister.gov/regulations/0938-AV34/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 2025 Rates (CMS-1808)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202404&RIN=0938-AV34&operation=OPERATION_EXPORT_XML","priority_category":"Section 3(f)(1) Significant"}},"regulation_id_numbers":["0938-AV34"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AV34/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 2025 Rates (CMS-1808)"},"comments_count":32,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2024-0131","supporting_documents_count":0,"docket_id":"CMS-2024-0131","document_id":"CMS-2024-0131-6017","regulation_id_number":"0938-AV34","title":"Medicare and Medicaid Programs; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; and Other Policy Changes  (CMS-1808-P)","checked_regulationsdotgov_at":"2024-12-01T02:00:13Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":80405,"subtype":null,"title":"Medicare Program; Changes to the Fiscal Year 2025 Hospital Inpatient Prospective Payment System (IPPS) Rates Due to Court Decision","toc_doc":"Fiscal Year 2025 Hospital Inpatient Prospective Payment System Rate Changes","toc_subject":"Medicare Program","topics":[],"type":"Rule","volume":89}