Medicare Payment Rules

IHA provides summaries and context on annual proposed and final changes to Medicare payment policies. See Medicare Advocacy for IHA comment letters on proposed rules.

Sep 09, 2024

FY 2025 Medicare LTCH final rule brief

On August 1, CMS posted the federal fiscal year 2025 Medicare Long-Term Care Hospital (LTCH) Prospective Payment System final rule effective Oct. 1, 2024 through Sept. 30, 2025.

Aug 28, 2024

FY 2025 Medicare IPF final rule brief

On July 31, CMS posted the federal fiscal year 2025 Medicare Inpatient Psychiatric Facility (IPF) Prospective Payment System final rule effective Oct. 1, 2024 through Sept. 30, 2025.

Aug 26, 2024

FY 2025 Medicare IPPS final rule brief

On August 1, CMS posted the federal fiscal year 2025 Medicare Inpatient Prospective Payment System (IPPS) final rule effective Oct. 1, 2024 through Sept. 30, 2025.

Aug 26, 2024

FY 2025 Medicare SNF final rule brief

On July 31, CMS posted the federal fiscal year 2025 Medicare Skilled Nursing Facility (SNF) Prospective Payment System final rule effective Oct. 1, 2024 through Sept. 30, 2025.

Aug 26, 2024

FY 2025 Medicare IRF final rule brief

On July 31, CMS posted the federal fiscal year 2025 Medicare Inpatient Rehabilitation Facility (IRF) Prospective Payment System final rule effective Oct. 1, 2024 through Sept. 30, 2025.

Aug 05, 2024

CY 2025 Medicare OPPS proposed rule brief

On July 22, CMS posted the calendar year 2025 Medicare Outpatient Prospective Payment System (OPPS) proposed rule effective Jan. 1, 2025 through Dec. 31, 2025.

Aug 05, 2024

CY 2025 Medicare HH proposed rule brief

On June 26, CMS posted the calendar year 2025 Medicare Home Health Prospective Payment System (HH PPS) proposed rule effective Jan. 1, 2025 through Dec. 31, 2025.

Jun 28, 2024

FY 2025 Medicare IPF proposed rule brief

On March 28, CMS posted the federal fiscal year 2025 Medicare Inpatient Psychiatric Facility (IPF) Prospective Payment System proposed rule effective Oct. 1, 2024 through Sept. 30, 2025.

May 08, 2024

FY 2025 Medicare LTCH Proposed Rule Brief

On April 10, CMS posted the federal fiscal year 2025 Medicare Long-Term Care Hospital (LTCH) Prospective Payment System proposed rule effective Oct. 1, 2024 through Sept. 30, 2025.

May 02, 2024

FY 2025 IPPS Proposed Rule

CMS released its annual proposed rule updating the Medicare Inpatient Prospective Payment System effective Oct. 1, 2024 through Sept. 30, 2025.

Apr 24, 2024

FY 2025 Medicare SNF Proposed Rule Brief

On March 28, CMS posted the federal fiscal year 2025 Medicare Skilled Nursing Facility (SNF) Prospective Payment System proposed rule effective Oct. 1, 2024 through Sept. 30, 2025.

Apr 24, 2024

FY 2025 Medicare IRF Proposed Rule Brief

On March 27, CMS posted the federal fiscal year 2025 Medicare Inpatient Rehabilitation Facility (IRF) Prospective Payment System proposed rule effective Oct. 1, 2024 through Sept. 30, 2025.

Dec 20, 2023

CY24 Medicare HH Final Rule

On Nov. 1, CMS posted the calendar year 2024 Medicare Home Health Prospective Payment System final rule effective Jan. 1, 2024 through Dec. 31, 2024.

Nov 29, 2023

CY 2024 Medicare PFS Final Rule (CMS-1784-F)

On Nov. 2, the Centers for Medicare & Medicaid Services (CMS) released its calendar year (CY)
2024 physician fee schedule (PFS) final rule.

Nov 27, 2023

CY24 Medicare OPPS Final Rule (CMS-1786-F)

On Nov. 2, CMS posted the calendar year 2024 Medicare Outpatient Prospective Payment System final rule effective Jan. 1, 2024 through Dec. 31, 2024.

Sep 01, 2023

FY24 Medicare IPPS Final Rule (CMS-1785-F)

On Aug. 1, CMS posted the fiscal year 2024 (FY24) Medicare Inpatient Prospective Payment System (IPPS) final rule effective Oct. 1, 2023 through Sept. 30, 2024.

Aug 21, 2023

CY24 Medicare OPPS Proposed Rule - CMS - 1786-P

On July 31, the Centers for Medicare & Medicaid Services (CMS) published its calendar year 2024 (CY24) outpatient prospective payment system (OPPS) proposed rule.

Aug 21, 2023

Proposed Changes to Hospital Price Transparency Requirements

CMS proposed several changes to hospital price transparency requirements in the CY24 OPPS proposed rule.

Jul 20, 2023

CY24 Home Health PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare Home Health prospective payment system effective Jan. 1, 2024 through Dec. 31, 2024.

Jul 13, 2023

Proposed 340B Payment Remedy

Details on CMS’ proposed payment remedy in response to its unlawful 340B payment policy implemented in CY 2018.

May 11, 2023

FY 2024 IPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient prospective payment system effective Oct. 1, 2023 through Sept. 30, 2024.

Apr 25, 2023

FY 2024 IRF PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient rehabilitation facility prospective payment system effective Oct. 1, 2023 through Sept. 30, 2024.

Apr 25, 2023

FY 2024 IPF PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient psychiatric facility prospective payment system effective Oct. 1, 2023 through Sept. 30, 2024.

Apr 25, 2023

FY 2024 SNF PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare skilled nursing facility prospective payment system effective Oct. 1, 2023 through Sept. 30, 2024.

Nov 11, 2022

CY 2023 OPPS Final Rule

CMS finalized outpatient prospective payment system updates, effective Jan. 1, 2023 through Dec. 31, 2023.

Nov 11, 2022

Rural Emergency Hospitals – CoPs

CMS finalized Medicare Conditions of Participation for rural emergency hospitals, effective Jan. 1, 2023.

Nov 11, 2022

Rural Emergency Hospitals

CMS finalized policies and procedures specific to rural emergency hospitals, effective Jan. 1, 2023.

Nov 08, 2022

Update on 340B Drug Pricing Program

CMS restored the 340B reimbursement to average sales price plus 6% for calendar year 2023.

Nov 01, 2022

CY 2023 HH PPS Final Rule

CMS published the home health prospective payment system final rule effective Jan. 1, 2023 through Dec. 31, 2023.

Aug 19, 2022

FY 2023 IPPS Final Rule

CMS published the inpatient prospective payment system final rule effective Oct. 1, 2022 through Sept. 31, 2023.

Aug 19, 2022

FY 2023 LTCH Final Rule

CMS published the long term care hospital prospective payment system final rule effective Oct. 1, 2022 through Sept. 31, 2023.

Aug 02, 2022

FY 2023 SNF Final Rule

CMS published the skilled nursing facility prospective payment system final rule effective Oct. 1, 2022 through Sept. 31, 2023.

Aug 02, 2022

FY 2023 IRF Final Rule

CMS published the inpatient rehabilitation facility prospective payment system final rule effective Oct. 1, 2022 through Sept. 31, 2023.

Aug 02, 2022

FY 2023 Hospice Finale Rule

CMS published the Medicare hospice payment final rule effective Oct. 1, 2022 through Sept. 31, 2023.

Aug 02, 2022

FY 2023 IPF Final Rule

CMS published the inpatient psychiatric facility prospective payment system final rule effective Oct. 1, 2022 through Sept. 31, 2023.

Jul 27, 2022

CY 2023 OPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare outpatient prospective payment system effective Jan. 1, 2023 through Dec. 31, 2023.

Jun 30, 2022

CY 2023 HH Proposed Rule

CMS published its annual proposed rule updating the Medicare Home Health prospective payment system effective Jan. 1, 2023 through Dec. 31, 2023.

May 09, 2022

FFY 2023 PR LTCH

CMS published its annual proposed rule updating the Medicare Long-Term Care Hospital prospective payment system effective Oct. 1, 2022 through Sept. 30, 2023.

Apr 28, 2022

FFY 2023 SNF Proposed Rule

CMS published its annual proposed rule updating the Medicare Skilled Nursing Facility Prospective Payment System, effective Oct. 1, 2022 through Sept. 30, 2023.

Apr 27, 2022

FFY 2023 IPPS Proposed Rule

CMS published its annual proposed rule update the Medicare Inpatient Prospective Payment System, effective Oct. 1, 2022 through Sept. 30, 2023.

Apr 11, 2022

FFY 2023 Hospice Proposed Rule

CMS published its annual proposed rule updating the Medicare Hospice payment system effective Oct. 1, 2022 through Sept. 30, 2023.

Apr 11, 2022

FFY 2023 IPF PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare Inpatient Psychiatric Facility prospective payment system effective Oct. 1, 2022 through Sept. 30, 2023.

Apr 11, 2022

FFY 2023 IRF PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare Inpatient Rehabilitation Facility prospective payment system effective Oct. 1, 2022 through Sept. 30, 2023.

Dec 13, 2021

CY 2022 OPPS Final Rule

CMS published its annual final rule updating the Medicare outpatient prospective payment system effective Jan. 1, 2022 through Dec. 31, 2022. See IHA's fact sheet on the final rule.

Dec 03, 2021

CY 2022 Home Health PPS Final Rule

CMS published its annual final rule updating the Medicare home health prospective payment system effective Jan. 1, 2022 through Dec. 31, 2022.

Sep 02, 2021

FFY 2022 Hospice PPS Final Rule

CMS published its annual final rule updating the Medicare Hospice prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Aug 26, 2021

FFY 2022 Long Term Care Hospital Final Rule Fact Sheet

CMS published its annual final rule updating the Medicare Long Term Care Hospital (LTCH) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Aug 17, 2021

FFY 2022 IPPS Final Rule

CMS published its federal fiscal year 2022 final rule updating the Medicare inpatient prospective payment system. Additional rulemaking is forthcoming.

Aug 16, 2021

FFY 2022 IPF PPS Final Rule

CMS published its federal fiscal year 2022 final rule updating the Medicare inpatient psychiatric facility PPS, including required reporting of COVID-19 healthcare personnel vaccination rates.

Aug 16, 2021

FFY 2022 IRF PPS Final Rule

CMS published its FFY 2022 final rule updating the Medicare inpatient rehabilitation facility prospective payment system including required reporting of COVID healthcare personnel vaccination rates.

Aug 16, 2021

FFY 2022 SNF PPS Final Rule

CMS published its federal FY 2022 final rule updating the Medicare skilled nursing facility prospective payment system, including required reporting of COVID healthcare personnel vaccination rates.

Aug 04, 2021

CY 2022 OPPS Proposed Rule

CMS published its calendar year 2022 proposed rule updating the Medicare outpatient prospective payment system, including updates to the hospital price transparency rule.

Jul 20, 2021

CY 2022 HH PPS Proposed Rule

CMS published its annual proposed rule updating the Medicare home health prospective payment system effective Jan. 1, 2022 through Dec. 31, 2022.

May 06, 2021

FFY 2022 LTCH Proposed Rule

CMS published its annual proposed rule updating the Medicare long-term acute care hospital prospective payment system effective Oct. 1, 2021 through September 30, 2022.

May 04, 2021

FFY 2022 IPPS Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 Hospice Proposed Rule

CMS published its annual proposed rule updating the Medicare hospice prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 SNF Proposed Rule

CMS published its annual proposed rule updating the Medicare skilled nursing facility (SNF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 IPF Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient psychiatric facility (IPF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Apr 15, 2021

FFY 2022 IRF Proposed Rule

CMS published its annual proposed rule updating the Medicare inpatient rehabilitation facility (IRF) prospective payment system effective Oct. 1, 2021 through Sept. 30, 2022.

Jan 19, 2021

CMS to Reprocess 2019 Excepted Off-Campus PBD Claims

CMS will begin reprocessing and recouping reimbursement made for certain 2019 outpatient services provided at excepted off-campus Provider-Based Departments.

Dec 10, 2020

CY 2021 OPPS Final Rule Fact Sheet

CMS published its annual final rule updating the Outpatient Prospective Payment System, effective Jan. 1, 2021. The final rule includes new COVID-19 hospital reporting requirements.

Dec 04, 2020

CY 2021 Final Rule Medicare Physician Fee Schedule Fact Sheet

CMS published its annual final rule updating the Medicare Physician Fee Schedule, effective Jan. 1, 2021, including changes to Medicare telehealth policy.

Nov 16, 2020

CY 2021 Final Rule Medicare Home Health Fact Sheet

CMS published its annual final rule updating the Medicare Home Health Prospective Payment System, effective Jan. 1, 2021 to Dec. 31, 2021.

Sep 10, 2020

FFY 2021 Final Rule Medicare Hospice Fact Sheet

CMS published its annual final rule updating the Medicare Hospice Prospective Payment System wage index, payment rates and quality-reporting program effective Oct. 1, 2020-Sept. 30, 2021.
Sep 10, 2020

FFY 2021 Medicare LTCH Final Rule

On Sept. 3, CMS published its annual final rule updating the LTCH Prospective Payment System effective Oct. 1, 2020 through Sept. 30, 2021.

Sep 10, 2020

FFY 2021 Medicare IPPS Final Rule

On Sept. 3, CMS published its annual final rule updating the Inpatient Prospective Payment System effective Oct. 1, 2020 through Sept. 30, 2021.

Aug 12, 2020

FFY 2021 IPF Final Rule

CMS published its annual final rule updating the Medicare inpatient psychiatric facility prospective payment system effective Oct. 1, 2021. See IHA’s fact sheet for important details on the rule.

Aug 10, 2020

FFY 2021 IRF Final Rule

CMS published its annual final rule updating the Medicare inpatient rehabilitation facility prospective payment system effective Oct. 1, 2021. See IHA's fact sheet for important details on the rule.

Aug 10, 2020

FFY 2021 SNF Final Rule

CMS published its annual final rule updating the Medicare skilled nursing facility prospective payment system effective Oct. 1, 2021. IHA's fact sheet provides detailed information on the rule.

Jan 09, 2020

Final Rule: CY 2020 OPPS/ASC Services with Correction Notice

On Nov.12, CMS published the final annual update regarding the Medicare outpatient prospective payment system (OPPS) and ambulatory surgical center payment system (ASC) for calendar year (CY) 2020.