2026 PROPOSED RULES INPATIENT PSYCH
An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg
CMS Issues Proposed FY 2026 Inpatient Psychiatric Facility PPS Update
The Centers for Medicare and Medicaid Services (CMS) have issued a proposed rule to update the Medicare Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) for Fiscal Year (FY) 2026.
A copy of the 121-page document is available at: https://public-inspection.federalregister.gov/2025-06298.pdf. The rule is scheduled for publication in the April 30 Federal Register. A 60-day comment period ending June 10 is provided.
Addendum A summarizes the fiscal year (FY) 2026 IPF PPS payment rates, outlier threshold, cost of living adjustment factors (COLA) for Alaska and Hawaii, national and upper limit cost-to-charge ratios, and adjustment factors.