2025 FINAL RULES INPATIENT REHAB
An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg
CMS Finalizes Inpatient Rehabilitation Facility FY 2025 PPS Update
The Centers for Medicare and Medicaid Services (CMS) have released its final rule to update the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) for FY 2025.
A copy of the 162-page document is available at: https://publicinspection.federalregister.gov/2024-16911.pdf.
The rule is scheduled for publication in the Federal Register on August 6. The rule includes the classification and weighting factors for the IRF PPS’s case-mix groups (CMGs), a description of the methodologies and data used in computing the prospective payment rates for FY 2025, and revised OMB core-based statistical area delineations from the July 21, 2023, OMB Bulletin (No. 23-01) for the IRF PPS wage index.
The rule finalizes the collection of four new items as standardized patient assessment data elements and the modification of one item collected as a standardized patient assessment data element, in the IRF-Patient Assessment Instrument (IRF-PAI) beginning with the FY 2028 IRF QRP. They are (1) one item for Living Situation, (2) two items for Food, and (3) one item for Utilities.