{"abstract":"This rulemaking proposes to update the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This rulemaking also proposes refinement of the IPF PPS outlier policy. These changes would be effective for IPF discharges occurring during the fiscal year beginning October 1, 2026, through September 30, 2027. We are also proposing the implementation of a standardized IPF patient assessment instrument, and the removal of two measures used in the Inpatient Psychiatric Facilities Quality Reporting 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/2026/04/07/2026-06675.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42}],"citation":"91 FR 17720","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-1847-P"],"dockets":[],"document_number":"2026-06675","effective_on":null,"end_page":17756,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/04/07/2026-06675.xml","html_url":"https://www.federalregister.gov/documents/2026/04/07/2026-06675/medicare-program-fy-2027-inpatient-psychiatric-facilities-prospective-payment-system-rate-update","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2026-06675?publication_date=2026-04-07","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2026-04-07/2026-06675/mods.xml","not_received_for_publication":null,"page_length":37,"page_views":{"count":2,"last_updated":"2026-04-07 06:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-07/pdf/2026-06675.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06675.pdf?1775164507","publication_date":"2026-04-07","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2026/04/07/2026-06675.txt","regulation_id_number_info":{"0938-AV77":null},"regulation_id_numbers":["0938-AV77"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2026-04-07T08:02:25Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":17720,"subtype":null,"title":"Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update","toc_doc":"Fiscal Year 2027 Inpatient Psychiatric Facilities Prospective Payment SystemRate Update","toc_subject":"Medicare Program","topics":["Administrative practice and procedure","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":91}