--- title: CMS FFY 2027 Long Term Care Hospital Final Rule description: CMS has finalized the FY 2027 Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Final Rule, establishing payment rates and policy updates effective October 1, 2026. image: https://public.govdataservices.com/hubfs/GDS-About-Us.jpg --- [Skip to content](https://public.govdataservices.com/the-scoop/cms-ffy-2027-long-term-care-hospital-final-rule#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Aug 7, 2026, 1:46:58 PM 1 min read # CMS FFY 2027 Long Term Care Hospital Final Rule [Previous](https://public.govdataservices.com/the-scoop/cms-ffy-2027-rehabilitation-final-rule) [Next](https://public.govdataservices.com/the-scoop/court-vacates-cmss-2023-medicare-part-c-rule) CMS has finalized the FY 2027 Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Final Rule, establishing payment rates and policy updates effective October 1, 2026. 1. CMS finalized a 2.3% payment update for LTCHs paid under the standard federal rate, slightly below the 2.4% update proposed earlier this year and down from the 2.7% update finalized for FY 2026. The change reflects updated market basket and productivity estimates. CMS estimates payments for standard-rate LTCH cases will increase by approximately 2.2%, or $54 million, in FY 2027. 2. The LTCH fixed-loss outlier threshold remains at $78,936, unchanged from FY 2026. 3. Updates to the LTCH Quality Reporting Program (QRP) were finalized, including the removal of two COVID-19 vaccination measures beginning with the FY 2028 program year and revisions to certain data submission requirements. 4. Compared with the proposed rule released in April, CMS made relatively few substantive policy changes affecting LTCH payment methodology.  The most notable revisions from proposal to final rule reflect updated economic assumptions. 5. The LTCH Payment System Remains Stable. The FY 2027 LTCH PPS Final Rule continues CMS's gradual refinement of LTCH payment policies and quality reporting requirements. The Long Term Care Hospital Final Rule: [LTCH Final Rule](https://www.federalregister.gov/documents/2026/08/04/2026-15833/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and) ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Oct 1, 2026, 11:37:34 AM 1 min read CMS FFY 2027 IPPS Correction Is More Than Typographical CMS published a correction to the FY 2027 IPPS Final Rule this week. While the notice does not change the policies or payment ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2027-ipps-correction-is-more-than-typographical) ### [Chris Cusimano Aug 5, 2026, 4:49:16 PM 1 min read CMS FFY 2027 Rehabilitation Final Rule The FFY 2027 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Final Rule has been published by CMS, The ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2027-rehabilitation-final-rule) ### [Chris Cusimano Aug 5, 2026, 10:14:12 AM 1 min read CMS FFY 2027 Inpatient PPS Final Rule CMS has released the FFY 2027 Medicare Inpatient Prospective Payment System (IPPS) Final Rule and CMS is placing greater ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2027-inpatient-pps-final-rule) [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/) **Get in Touch** Government Data Services 3200 W. 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All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/cms-ffy-2027-long-term-care-hospital-final-rule" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "CMS has finalized the FY 2027 Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Final Rule, establishing payment rates and policy updates effective October 1, 2026.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "August 7, 2026 5 PM", "datePublished" : "August 7, 2026 5 PM", "headline" : "CMS FFY 2027 Long Term Care Hospital Final Rule", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/GDS-About-Us.jpg", "inLanguage" : "en", "keywords" : "[Legal News]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "CMS FFY 2027 Long Term Care Hospital Final Rule", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "CMS has finalized the FY 2027 Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Final Rule, establishing payment rates and policy updates effective October 1, 2026. CMS finalized a 2.3% payment update for LTCHs paid under the standard federal rate, slightly below the 2.4% update proposed earlier this year and down from the 2.7% update finalized for FY 2026. The change reflects updated market basket and productivity estimates. CMS estimates payments for standard-rate LTCH cases will increase by approximately 2.2%, or $54 million, in FY 2027. The LTCH fixed-loss outlier threshold remains at $78,936, unchanged from FY 2026. Updates to the LTCH Quality Reporting Program (QRP) were finalized, including the removal of two COVID-19 vaccination measures beginning with the FY 2028 program year and revisions to certain data submission requirements. Compared with the proposed rule released in April, CMS made relatively few substantive policy changes affecting LTCH payment methodology. The most notable revisions from proposal to final rule reflect updated economic assumptions. The LTCH Payment System Remains Stable. The FY 2027 LTCH PPS Final Rule continues CMS's gradual refinement of LTCH payment policies and quality reporting requirements. The Long Term Care Hospital Final Rule: LTCH Final Rule", "url" : "https://public.govdataservices.com/the-scoop/cms-ffy-2027-long-term-care-hospital-final-rule", "wordCount" : "277" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Cusimano", "url" : "https://public.govdataservices.com/the-scoop/author/chris-cusimano" }, "dateModified" : "2026-08-07T17:48:10.639Z", "datePublished" : "2026-08-07T17:46:58.000Z", "headline" : "CMS FFY 2027 Long Term Care Hospital Final Rule", "image" : [ "https://public.govdataservices.com/hubfs/GDS-About-Us.jpg" ], "mainEntityOfPage" : { "@id" : "https://public.govdataservices.com/the-scoop/cms-ffy-2027-long-term-care-hospital-final-rule", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" } } } ```