IPPS Regulations and Notices https://www.cms.gov/rss/32116 Wed, 22 Apr 2026 07:59:00 -0400 Centers for Medicare and Medicaid ServicesCMS-1833Tue, 10 Feb 2026 16:11:10 -0500https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1833https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1833regulation_number: CMS-1833

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2026

year: 2026

]]>CMS-1808Tue, 10 Feb 2026 16:02:41 -0500https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1808https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1808regulation_number: CMS-1808

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2025

year: 2025

]]>CMS-1785Mon, 04 Aug 2025 08:21:38 -0400https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1785https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1785regulation_number: CMS-1785

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2024

year: 2024

]]>CMS-1771Fri, 01 Aug 2025 08:30:42 -0400https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1771https://www.cms.gov//medicare/payment/prospective-payment-systems/acute-inpatient-pps/ipps-regulations-and-notices/cms-1771regulation_number: CMS-1771

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2023

year: 2023

]]>CMS-1739-FWed, 07 Jun 2023 16:49:47 -0400https://www.cms.gov//medicare/medicare-fee-service-payment/acuteinpatientpps/ipps-regulations-and-notices/cms-1739-fhttps://www.cms.gov//medicare/medicare-fee-service-payment/acuteinpatientpps/ipps-regulations-and-notices/cms-1739-fdescription: This final action establishes a policy concerning the treatment of patient days associated with persons enrolled in a Medicare Part C (also known as “Medicare Advantage”) plan for purposes of calculating a hospital’s disproportionate patient percentage for cost reporting periods starting before fiscal year (FY) 2014 in response to the Supreme Court’s ruling in Azar v. Allina Health Services, 139 S. Ct. 1804 (June 3, 2019).

display_date: Wed, 07 Jun 2023 20:15:00 -0400

publication_date: Fri, 09 Jun 2023 12:45:00 -0400

regulation_number: CMS-1739-F

title: Medicare Program; Treatment of Medicare Part C Days in the Calculation of a Hospital’s Medicare Disproportionate Patient Percentage

year: 2023

]]>CMS-1788Fri, 24 Feb 2023 17:29:18 -0500https://www.cms.gov//medicare/medicare-fee-service-payment/acuteinpatientpps/ipps-regulations-and-notices/cms-1788-phttps://www.cms.gov//medicare/medicare-fee-service-payment/acuteinpatientpps/ipps-regulations-and-notices/cms-1788-pregulation_number: CMS-1788

title: Medicare Program; Medicare Disproportionate Share Hospital (DSH) Payments: Counting Certain Days Associated with Section 1115 Demonstrations in the Medicaid Fraction

year: 2024

]]>CMS–9912–IFCThu, 03 Jun 2021 14:07:46 -0400https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-9912-ifchttps://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-9912-ifcdescription: This interim final rule with request for comments (IFC) discusses CMS’s implementation of section 3713 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), which established Medicare Part B coverage and payment for Coronavirus Disease 2019 (COVID–19) vaccine and its administration. This IFC implements requirements in the CARES Act that providers of COVID–19 diagnostic tests make public their cash prices for those tests and establishes an enforcement scheme to enforce those requirements. This rule also establishes an add-on payment for cases involving the use of new COVID–19 treatments under the Medicare Inpatient Prospective Payment System (IPPS).

display_date: Fri, 06 Nov 2020 17:00:00 -0500

publication_date: Fri, 06 Nov 2020 17:00:00 -0500

regulation_number: CMS–9912–IFC

title: Additional Policy and Regulatory Revisions in Response to the COVID–19 Public Health Emergency

year: 2021

]]>CMS-1752Wed, 28 Apr 2021 09:54:50 -0400https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1752https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1752regulation_number: CMS-1752

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2022

year: 2022

]]>CMS-1762-IFCTue, 27 Apr 2021 17:47:12 -0400https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1762-ifchttps://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1762-ifcdescription: This interim final rule with comment period (IFC) amends our current regulations to allow hospitals with a rural redesignation under the Social Security Act ( the Act) to reclassify through the Medicare Geographic Classification Review Board (MGCRB) using the rural reclassified area as the geographic area in which the hospital is located. These regulatory changes align our policy with the decision in Bates County Memorial Hospital v. Azar, effective with reclassifications beginning with fiscal year (FY) 2023. We would also apply the policy in this IFC when deciding timely appeals before the Administrator of applications for reclassifications beginning with FY 2022 that were denied by the MGCRB due to the current policy, which does not permit hospitals with rural redesignations to use the rural area’s wage data for purposes of reclassifying under the MGCRB.

display_date: Tue, 27 Apr 2021 20:45:00 -0400

publication_date: Mon, 10 May 2021 12:00:00 -0400

regulation_number: CMS-1762-IFC

title: Medicare Program; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board (MGCRB)

year: 2022

]]>CMS-1739Tue, 04 Aug 2020 10:46:30 -0400https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1739https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1739regulation_number: CMS-1739

title: DSH Calculation & Treatment of Part C Days: Fiscal Years 2021 & 2023

year: 2023

]]>CMS-1735Mon, 30 Mar 2020 14:33:56 -0400https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1735https://www.cms.gov//medicaremedicare-fee-service-paymentacuteinpatientppsipps-regulations-and-notices/cms-1735regulation_number: CMS-1735

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2021

year: 2021

]]>CMS-1716Mon, 04 Nov 2019 02:47:26 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1716https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1716regulation_number: CMS-1716

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2020

year: 2020

]]>CMS-1694Mon, 04 Nov 2019 02:46:25 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1694https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1694regulation_number: CMS-1694

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2019

year: 2019

]]>CMS-1709-NMon, 04 Nov 2019 02:46:09 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1709-nhttps://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1709-npublication_date: Thu, 23 Aug 2018 20:00:00 -0400

regulation_number: CMS-1709-N

title: Medicare Program; Certain Changes to the Low-Volume Hospital Payment Adjustment Under the Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals for Fiscal Years 2011 through 2017

year: 2019

]]>CMS-1677Mon, 04 Nov 2019 02:43:34 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1677https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1677regulation_number: CMS-1677

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2018

year: 2018

]]>CMS-1655Mon, 04 Nov 2019 02:41:09 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1655https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1655regulation_number: CMS-1655

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2017

year: 2017

]]>CMS-1664-IFCMon, 04 Nov 2019 02:41:06 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1664-ifchttps://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1664-ifcdescription: This interim final rule with comment period (IFC) implements section 231 of the Consolidated Appropriations Act of 2016 (CAA), which provides for a temporary exception for certain wound care discharges from the application of the site neutral payment rate under the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) for certain long term care hospitals. This IFC also amends our current regulations at § 412.230(a)(5)(ii) to allow hospitals nationwide to reclassify based on their acquired rural status, effective with reclassifications beginning with fiscal year (FY) 2018. Hospitals with an existing Medicare Geographic Classification Review Board (MGCRB) reclassification would also have the opportunity to seek rural reclassification for IPPS payment and other purposes under § 412.103 and keep their existing MGCRB reclassification. We would also apply the policy in this IFC when deciding timely appeals before the Administrator under § 412.278 for FY 2017 that were denied by the MGCRB due to existing § 412.230(a)(5)(ii) and (iii), which do not permit simultaneous § 412.103 and MGCRB reclassifications. These regulatory changes implement the decisions in Geisinger Community Medical Center v. Secretary, United States Department of Health and Human Services, 794 F.3d 383 (3d Cir. 2015) and Lawrence + Memorial Hospital v. Burwell, No. 15-164, 2016 WL 423702 (2d Cir. Feb. 4, 2015) in a nationally consistent manner.

display_date: Mon, 18 Apr 2016 12:00:00 -0400

publication_date: Thu, 21 Apr 2016 12:00:00 -0400

regulation_number: CMS-1664-IFC

title: Medicare Program; Temporary Exception for Certain Severe Wound Discharges from Certain Long Term Care Hospitals Required by the Consolidated Appropriations Act, 2016; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board

year: 2016

]]>CMS-1658-NCMon, 04 Nov 2019 02:40:41 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1658-nchttps://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1658-ncdescription: In accordance with the Court’s October 6, 2015 order in Shands Jacksonville Medical Center, Inc., et al. v. Burwell, No. 14–263 (D.D.C.) and consolidated cases that challenge the 0.2 percent reduction in inpatient prospective payment systems (IPPS) rates to account for the estimated $220 million in additional FY 2014 expenditures resulting from the 2-midnight policy, this notice discusses the basis for the 0.2 percent reduction and its underlying assumptions and invites comments on the same in order to facilitate our further consideration of the FY 2014 reduction.

display_date: Tue, 24 Nov 2015 12:00:00 -0500

publication_date: Tue, 01 Dec 2015 12:00:00 -0500

regulation_number: CMS-1658-NC

title: Medicare Program; Inpatient Prospective Payment Systems; 0.2 Percent Reduction

year: 2015

]]>CMS-1659Mon, 04 Nov 2019 02:40:39 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1659https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1659publication_date: Fri, 22 Jan 2016 12:00:00 -0500

regulation_number: CMS-1659

title: Medicare Program; Explanation of FY 2004 Outlier Fixed-Loss Threshold as Required by Court Rulings

year: 2016

]]>CMS-1632Mon, 04 Nov 2019 02:39:24 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1632https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1632regulation_number: CMS-1632

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2016

year: 2016

]]>CMS-1607Mon, 04 Nov 2019 02:37:38 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1607https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1607regulation_number: CMS-1607

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2015

year: 2015

]]>CMS-1599Mon, 04 Nov 2019 02:36:12 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1599-xxhttps://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1599-xxregulation_number: CMS-1599

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2014

year: 2014

]]>CMS-1588Mon, 04 Nov 2019 02:31:46 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1588https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms-1588publication_date: Fri, 15 Feb 2013 12:00:00 -0500

regulation_number: CMS-1588

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2013

year: 2013

]]>CMS-1470Mon, 04 Nov 2019 02:07:42 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1232393https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1232393regulation_number: CMS-1470

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2004

year: 2004

]]>CMS-1406Mon, 04 Nov 2019 02:07:41 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1222246https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1222246description: Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2010 Rates; Proposed, Final, and Relevant Correction Notices

display_date: Fri, 31 Jul 2009 12:00:00 -0400

publication_date: Thu, 27 Aug 2009 12:00:00 -0400

regulation_number: CMS-1406

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2010

year: 2010

]]>CMS-1529Mon, 04 Nov 2019 02:07:41 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1229629https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1229629regulation_number: CMS-1529

title: Hospital Direct and Indirect GME Proposed and Final Rule, and Correction Notices; Fiscal Year 2007

year: 2007

]]>CMS-1500Mon, 04 Nov 2019 02:07:19 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1230238https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1230238regulation_number: CMS-1500

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2006

year: 2006

]]>CMS-1498Mon, 04 Nov 2019 02:07:19 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1234747https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1234747regulation_number: CMS-1498

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2011

year: 2011

]]>CMS-1518Mon, 04 Nov 2019 02:07:18 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1246981https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1246981regulation_number: CMS-1518

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2012

year: 2012

]]>CMS-1203Mon, 04 Nov 2019 02:07:18 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1233153https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1233153regulation_number: CMS-1203

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2003

year: 2003

]]>CMS-1531Mon, 04 Nov 2019 02:07:18 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1229876https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1229876regulation_number: CMS-1531

title: Revision of Deadline for Submission of Emergency Graduate Medical Education Affiliation Agreements

year: 2006

]]>CMS-1428Mon, 04 Nov 2019 02:07:18 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1230891https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1230891regulation_number: CMS-1428

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2005

year: 2005

]]>CMS-1243Mon, 04 Nov 2019 02:07:18 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1232862https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1232862regulation_number: CMS-1243

title: Change in Methodology for Determining Payment for Extraordinarily High-Cost Cases (Cost Outliers)

year: 2004

]]>CMS-1533Mon, 04 Nov 2019 02:07:17 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1228401https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1228401regulation_number: CMS-1533

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2008

year: 2008

]]>CMS-1390Mon, 04 Nov 2019 02:07:17 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1227598https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1227598description: Medicare Program; Proposed & Final Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates; Changes to Disclosure of Physician Ownership in Hospitals and Physician Self-Referral Rules; Collection of Information Regarding Financial Relationships Between Hospitals and Physicians

display_date: Fri, 01 Aug 2008 12:00:00 -0400

publication_date: Tue, 19 Aug 2008 12:00:00 -0400

regulation_number: CMS-1390

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2009

year: 2009

]]>CMS-1488Mon, 04 Nov 2019 02:07:17 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1229138https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms1229138regulation_number: CMS-1488

title: IPPS Annual Proposed and Final Rules, and Relevant Correction Notices: Fiscal Year 2007

year: 2007

]]>CMS-1373-NMon, 04 Nov 2019 02:07:17 -0500https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms028316https://www.cms.gov//medicare/medicare-fee-for-service-payment/acuteinpatientpps/ipps-regulations-and-notices-items/cms028316description: Medicare Program; Notice of One-Time Appeal Process for Hospital Wage Index Classification

display_date: Wed, 31 Dec 2003 12:00:00 -0500

publication_date: Tue, 06 Jan 2004 12:00:00 -0500

regulation_number: CMS-1373-N

title: One-Time Appeal Process for Hospital Wage Index Classification

year: 2004

]]>