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Chris Cusimano Aug 4, 2025 1:54:20 PM 1 min read

CMS FFY 2026 Psychiatric Final Rule

On  July 31, 2025, CMS issued the FFY 2025 Inpatient Psychiatric Facilities (IPF) Prospective Payment System and Quality Reporting (IPFQR) Updates Final Rule (CMS-1831-F).
 
  • IPF PPS payments up 2.5% (3.2% market basket – 70 basis point productivity adjustment)
  • Outlier threshold remains at 2% of total payments
  • Total payments expected to rise 2.4% over 2025 levels
  • IPF PPS Per diem up to  $892.87 ($875.44 if failing to submit quality measures) from $876.53
  • Increasing facility teaching and rural locations adjustment factors
  • Electroconvulsive therapy (ECT) per treatment amount updated to $673.85 from $661.52
  • Updates wage index
  • Removes four quality measures and modifies reporting period of another measure
  • Cost and claims data factors from 2020, 2021, and 2022 used to determine IPF PPS payment adjustments
  • 2% annual payment reduction continues for not meeting quality reporting requirements
 
This Final Rule CMS-1831-F will be published August 5, 2025.
 
      Here is a link to the version currently on display for public inspection:
 
      Here is a link to the Fact Sheet from CMS that summarizes the Final Rule: