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 2024_register executive 2024-08-28 article Part II Rules and Regulations D09002ee1cb2295a2 D09002ee1cb2296d3 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 revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; updates the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); and makes other policy- related changes. 89 FR 68986 https://www.govinfo.gov/app/details/FR-2024-08-28/2024-17021 2024-17021 fr28au24-9 RIN 0938-AV34 4120-01-P CMS-1808-F https://www.govinfo.gov/app/details/FR-2024-08-28/2024-17021 https://www.govinfo.gov/content/pkg/FR-2024-08-28/html/2024-17021.htm https://www.govinfo.gov/content/pkg/FR-2024-08-28/pdf/2024-17021.pdf Administrative Practice and Procedure Diseases Health Facilities Health Professions Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Medicare Puerto Rico Reporting and Recordkeeping Requirements Grant Programs-Health Medicaid Privacy Hospitals Health Maintenance Organizations (Hmo) Health Records Penalties Health Care Health Insurance Intergovernmental Relations 1061 p. 68986 70046 89 FR 68986 Title 42 Part 405 42 CFR Part 405 Title 42 Part 412 42 CFR Part 412 Title 42 Part 413 42 CFR Part 413 Title 42 Part 431 42 CFR Part 431 Title 42 Part 482 42 CFR Part 482 Title 42 Part 485 42 CFR Part 485 Title 42 Part 495 42 CFR Part 495 Title 42 Part 512 42 CFR Part 512 RIN 0938-AV34 Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes; Federal Register Vol. 89, Issue RULE 2024-17021 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2024-10-01 CMS-1808-F 4120-01-P 2024-17021 Final rule.

This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; updates the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); and makes other policy- related changes.

With the exception of instruction 2 (Sec. 405.1845), instruction 29 (Sec. 482.42(e)) and instruction 31 (Sec. 485.640(d)), this final rule is effective October 1, 2024. The regulation at Sec. 405.1845 is effective January 1, 2025. The regulations at Sec. Sec. 482.42(e) and 485.640(d) are effective on November 1, 2024. Donald Thompson, and Michele Hudson, (410) 786-4487 or DAC@cms.hhs.gov, Operating Prospective Payment, MS-DRG Relative Weights, Wage Index, Hospital Geographic Reclassifications, Graduate Medical Education, Capital Prospective Payment, Excluded Hospitals, Medicare Disproportionate Share Hospital (DSH) Payment Adjustment, Sole Community Hospitals (SCHs), Medicare-Dependent Small Rural Hospital (MDH) Program, Low-Volume Hospital Payment Adjustment, and Inpatient Critical Access Hospital (CAH) Issues. Administrative Practice and Procedure Diseases Health Facilities Health Professions Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Medicare Puerto Rico Reporting and Recordkeeping Requirements Grant Programs-Health Medicaid Privacy Hospitals Health Maintenance Organizations (Hmo) Health Records Penalties Health Care Health Insurance Intergovernmental Relations Medicare, Medicaid, and Children's Health Insurance Programs: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates, etc., andrea.hazeley@cms.hhs.gov benjamin.cohen@cms.hhs.gov bridget.dickensheets@cms.hhs.gov CAA126application@cms.hhs.gov CMMI_TEAM@cms.hhs.gov DAC@cms.hhs.gov dnhs@cms.hhs.gov elizabeth.goldstein@cms.hhs.gov elizabeth.holland@cms.hhs.gov ICDProcedureCodeRequest@cms.hhs.gov jennifer.tate@cms.hhs.gov jeris.smith@cms.hhs.gov jessica.warren@cms.hhs.gov 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Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2024-08-28 P0b002ee1cb2207eb 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr28au24 https://www.govinfo.gov/app/details/FR-2024-08-28 https://www.govinfo.gov/content/pkg/FR-2024-08-28/pdf/FR-2024-08-28.pdf https://www.govinfo.gov/content/pkg/FR-2024-08-28/xml/FR-2024-08-28.xml fdlp 68769 70093 DGPO 2024-08-28 2024-08-28 FR-2024-08-28 machine generated eng FR FR-2024-08-28 89 167