United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2022_register executive 2022-07-29 article Part III Rules and Regulations D09002ee1c7a2f78f D09002ee1c7a2f87e United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPF), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This final rule establishes a permanent mitigation policy to smooth the impact of year- to-year changes in IPF payments related to decreases in the IPF wage index. In addition, this final rule includes responses to public comments received on the results of the data analysis of the IPF Prospective Payment System (PPS) adjustments. These changes will be effective for IPF discharges occurring during the Fiscal Year (FY) beginning October 1, 2022, through September 30, 2023 (FY 2023). Lastly, this final rule includes public comments received in response to requests for information that appeared in the FY 2023 IPF PPS proposed rule. 87 FR 46846 https://www.govinfo.gov/app/details/FR-2022-07-29/2022-16260 2022-16260 FR29JY22-13 RIN 0938-AU80 4120-01-P CMS-1769-F https://www.govinfo.gov/app/details/FR-2022-07-29/2022-16260 https://www.govinfo.gov/content/pkg/FR-2022-07-29/html/2022-16260.htm https://www.govinfo.gov/content/pkg/FR-2022-07-29/pdf/2022-16260.pdf Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements 33 p. 46846 46878 87 FR 46846 Title 42 Part 412 42 CFR Part 412 RIN 0938-AU80 Medicare Program; FY 2023 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update and Quality Reporting-Request for Information; Federal Register Vol. 87, Issue RULE 2022-16260 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2022-10-01 CMS-1769-F 4120-01-P 2022-16260 Final rule.

This final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPF), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This final rule establishes a permanent mitigation policy to smooth the impact of year- to-year changes in IPF payments related to decreases in the IPF wage index. In addition, this final rule includes responses to public comments received on the results of the data analysis of the IPF Prospective Payment System (PPS) adjustments. These changes will be effective for IPF discharges occurring during the Fiscal Year (FY) beginning October 1, 2022, through September 30, 2023 (FY 2023). Lastly, this final rule includes public comments received in response to requests for information that appeared in the FY 2023 IPF PPS proposed rule.

Effective October 1, 2022. The IPF Payment Policy mailbox at IPFPaymentPolicy@cms.hhs.gov for general information. Administrative Practice and Procedure Health Facilities Medicare Puerto Rico Reporting and Recordkeeping Requirements Medicare Program: FY 2023 Inpatient Psychiatric Facilities Prospective Payment System; Rate Update and Quality Reporting; Request for Information, IPFPaymentPolicy@cms.hhs.gov https://archive.ahrq.gov/research/findings/final-reports/medicareindicators/medicareindicators1.html https://doi.org/10.1186/s12982-021-00100-9 https://link.springer.com/content/pdf/10.1007/s11606-019-05473-x.pdf https://qualitynet.cms.gov/inpatient/measures/disparity-methods https://s3.amazonaws.com/bizzabo.file.upload/83kO1DYXTs6mKHjVtuk8_1%20-%20Session%2023%20Health%20Equity%20New%20Normal%20FINAL_508.pdf https://www.ahrq.gov/talkingquality/measures/types.html https://www.aspe.hhs.gov/reports/report-congress-social-risk-factors-performance-under-medicares-value-based-purchasing-programs https://www.atsdr.cdc.gov/placeandhealth/svi/img/pdf/Flanagan_2011_SVIforDisasterManagement-508.pdf https://www.bls.gov/oes/current/oes119111 https://www.cdc.gov/mmwr/volumes/70/wr/mm7005a1.htm?s_cid=mm7005a1 https://www.cdc.gov/nchs/data/icd/10cmguidelines-FY2020_final.pdf https://www.chcoc.gov/content/nonforeign-area-retirement-equity-assurance-act https://www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives/framework-for-health-equity https://www.cms.gov/files/document/measures-under-consideration-list-2021-report.pdf https://www.cms.gov/files/document/productivity-memo.pdf https://www.cms.gov/files/document/technical-report-medicare-program-inpatient-psychiatric-facilities-prospective-payment-system.pdf https://www.cms.gov/Medicare/Coding/ICD10/ICD-10-MS-DRG-Conversion-Project.html https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientPsychFacilPPS/index.html https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientPsychFacilPPS/index.html?redirect=/InpatientPsychFacilPPS/ https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientPsychFacilPPS/tools.html https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/IPFPPS/WageIndex.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-Quality-Improvement- https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Qualityinitiativesgeninfo/downloads/cms-quality-strategy.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Pre-Rulemaking https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy https://www.cms.gov/pillar/health-equity https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c03.pdf https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/MarketBasketResearch https://www.hrsa.gov/sites/default/files/hrsa/provider-relief/provider-relief-fund-faq-complete.pdf https://www.minorityhealth.hhs.gov/assets/PDF/Update_HHS_Disparities_Dept-FY2020.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338295/pdf/HESR-54-13.pdf https://www.neighborhoodatlas.medicine.wisc.edu/ https://www.ruralhealthresearch.org/assets/2200-8536/rural-communities-age-income-health-status-recap.pdf https://www.whitehouse.gov/omb/information-for-agencies/bulletins/ https://www.whitehouse.gov/wp-content/uploads/2020/03/Bulletin-20-01.pdf https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/circulars/A4/a-4.pdf www.bls.gov Vol. 87, no. 145 Office of the Federal Register, National Archives and Records Administration 2022-07-29 continuing daily deposited born digital 1268 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2022-07-29 P0b002ee1b69ec756 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:FR29JY22 https://www.govinfo.gov/app/details/FR-2022-07-29 https://www.govinfo.gov/content/pkg/FR-2022-07-29/pdf/FR-2022-07-29.pdf https://www.govinfo.gov/content/pkg/FR-2022-07-29/xml/FR-2022-07-29.xml fdlp 45623 46881 DGPO 2022-07-29 2024-05-29 FR-2022-07-29 machine generated eng FR FR-2022-07-29 87 145