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CMS FFY 2026 Psychiatric Final Rule

Written by Chris Cusimano | Aug 4, 2025 5:54:20 PM
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:
Federal Register :: Public Inspection: Medicare Program: FY 2026 Inpatient Psychiatric Facilities Prospective Payment System--Rate Update
 
      Here is a link to the Fact Sheet from CMS that summarizes the Final Rule:
FY 2026 Medicare Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Quality Reporting (IPFQR) Updates Final Rule (CMS-1831-F) | CMS