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This proposed rule includes a solicitation for public comments on alternative data sources for the IRF PPS wage index; proposes to require all therapy treatments or therapy evaluations to begin within 36-hours from midnight on the day of admission; proposes to require a patient's current functional status be documented on the preadmission screening; proposes requirements for the initial Interdisciplinary Team meeting; and includes a request for information on potential future IRF PPS payment reform. Additionally, the proposed rule includes updates to the IRF Quality Reporting Program. Furthermore, the proposed rule includes changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program.","action":"Proposed 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/2026/04/06/2026-06642.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"91 FR 17195","comment_url":null,"comments_close_on":"2026-06-01","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below by June 1, 2026.","disposition_notes":null,"docket_ids":["CMS-1845-P"],"dockets":[],"document_number":"2026-06642","effective_on":null,"end_page":17230,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/04/06/2026-06642.xml","html_url":"https://www.federalregister.gov/documents/2026/04/06/2026-06642/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal","images":{"EP06AP26.058":{"large":"https://img.federalregister.gov/EP06AP26.058/EP06AP26.058_large.png","medium":"https://img.federalregister.gov/EP06AP26.058/EP06AP26.058_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.058/EP06AP26.058_original_size.png"},"EP06AP26.069":{"large":"https://img.federalregister.gov/EP06AP26.069/EP06AP26.069_large.png","medium":"https://img.federalregister.gov/EP06AP26.069/EP06AP26.069_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.069/EP06AP26.069_original_size.png"},"EP06AP26.057":{"large":"https://img.federalregister.gov/EP06AP26.057/EP06AP26.057_large.png","medium":"https://img.federalregister.gov/EP06AP26.057/EP06AP26.057_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.057/EP06AP26.057_original_size.png"},"EP06AP26.068":{"large":"https://img.federalregister.gov/EP06AP26.068/EP06AP26.068_large.png","medium":"https://img.federalregister.gov/EP06AP26.068/EP06AP26.068_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.068/EP06AP26.068_original_size.png"},"EP06AP26.059":{"large":"https://img.federalregister.gov/EP06AP26.059/EP06AP26.059_large.png","medium":"https://img.federalregister.gov/EP06AP26.059/EP06AP26.059_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.059/EP06AP26.059_original_size.png"},"EP06AP26.065":{"large":"https://img.federalregister.gov/EP06AP26.065/EP06AP26.065_large.png","medium":"https://img.federalregister.gov/EP06AP26.065/EP06AP26.065_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.065/EP06AP26.065_original_size.png"},"EP06AP26.076":{"large":"https://img.federalregister.gov/EP06AP26.076/EP06AP26.076_large.png","medium":"https://img.federalregister.gov/EP06AP26.076/EP06AP26.076_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.076/EP06AP26.076_original_size.png"},"EP06AP26.064":{"large":"https://img.federalregister.gov/EP06AP26.064/EP06AP26.064_large.png","medium":"https://img.federalregister.gov/EP06AP26.064/EP06AP26.064_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.064/EP06AP26.064_original_size.png"},"EP06AP26.075":{"large":"https://img.federalregister.gov/EP06AP26.075/EP06AP26.075_large.png","medium":"https://img.federalregister.gov/EP06AP26.075/EP06AP26.075_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.075/EP06AP26.075_original_size.png"},"EP06AP26.056":{"large":"https://img.federalregister.gov/EP06AP26.056/EP06AP26.056_large.png","medium":"https://img.federalregister.gov/EP06AP26.056/EP06AP26.056_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.056/EP06AP26.056_original_size.png"},"EP06AP26.067":{"large":"https://img.federalregister.gov/EP06AP26.067/EP06AP26.067_large.png","medium":"https://img.federalregister.gov/EP06AP26.067/EP06AP26.067_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.067/EP06AP26.067_original_size.png"},"EP06AP26.055":{"large":"https://img.federalregister.gov/EP06AP26.055/EP06AP26.055_large.png","medium":"https://img.federalregister.gov/EP06AP26.055/EP06AP26.055_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.055/EP06AP26.055_original_size.png"},"EP06AP26.066":{"large":"https://img.federalregister.gov/EP06AP26.066/EP06AP26.066_large.png","medium":"https://img.federalregister.gov/EP06AP26.066/EP06AP26.066_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.066/EP06AP26.066_original_size.png"},"EP06AP26.061":{"large":"https://img.federalregister.gov/EP06AP26.061/EP06AP26.061_large.png","medium":"https://img.federalregister.gov/EP06AP26.061/EP06AP26.061_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.061/EP06AP26.061_original_size.png"},"EP06AP26.072":{"large":"https://img.federalregister.gov/EP06AP26.072/EP06AP26.072_large.png","medium":"https://img.federalregister.gov/EP06AP26.072/EP06AP26.072_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.072/EP06AP26.072_original_size.png"},"EP06AP26.060":{"large":"https://img.federalregister.gov/EP06AP26.060/EP06AP26.060_large.png","medium":"https://img.federalregister.gov/EP06AP26.060/EP06AP26.060_medium.png","original_size":"https://img.federalregister.gov/EP06AP26.060/EP06AP26.060_original_size.png"},"EP06AP26.071":{"large":"https://img.federalregister.gov/EP06AP26.071/EP06AP26.071_large.png","medium":"https://img.federalregister.gov/EP06AP26.071/EP06AP26.071_medium.png","original_size"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