{"abstract":"This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2026. 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 2026. It also continues the second year of the 3-year phaseout of the rural adjustment, which began in FY 2025. Additionally, the final rule includes updates to the IRF Quality Reporting Program.","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/2025/08/05/2025-14780.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42}],"citation":"90 FR 37678","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on October 1, 2025.","disposition_notes":null,"docket_ids":["CMS-1829-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":null,"comment_start_date":null,"updated_at":"2025-08-05T09:56:51.987-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2025-0032-0072","allow_late_comments":false,"id":"CMS-2025-0032-0072","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2025-0032","title":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 (CMS-1829-P)"}],"document_number":"2025-14780","effective_on":"2025-10-01","end_page":37724,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2025/08/05/2025-14780.xml","html_url":"https://www.federalregister.gov/documents/2025/08/05/2025-14780/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2025-14780?publication_date=2025-08-05","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2025-08-05/2025-14780/mods.xml","not_received_for_publication":null,"page_length":47,"page_views":{"count":5114,"last_updated":"2026-04-04 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-05/pdf/2025-14780.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14780.pdf?1754079306","publication_date":"2025-08-05","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2025/08/05/2025-14780.txt","regulation_id_number_info":{"0938-AV48":{"issue":"202504","html_url":"https://www.federalregister.gov/regulations/0938-AV48/fy-2026-inpatient-rehabilitation-facility-irf-prospective-payment-system-rate-update-and-quality-rep","title":"FY 2026 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Rate Update and Quality Reporting Program (CMS-1829)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202504&RIN=0938-AV48&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AV48"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AV48/fy-2026-inpatient-rehabilitation-facility-irf-prospective-payment-system-rate-update-and-quality-rep","title":"FY 2026 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Rate Update and Quality Reporting Program (CMS-1829)"},"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-2025-0032","supporting_documents_count":0,"docket_id":"CMS-2025-0032","document_id":"CMS-2025-0032-0072","regulation_id_number":"0938-AV48","title":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 (CMS-1829-P)","checked_regulationsdotgov_at":"2025-08-06T16:55:03Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":37678,"subtype":null,"title":"Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program","toc_doc":"Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program","toc_subject":"Medicare Program","topics":["Administrative practice and procedure","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Rule","volume":90}