Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012; Changes in Size and Square Footage of Inpatient Rehabilitation Units and Inpatient Psychiatric Units

Docket ID: CMS-2011-0059
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
This major rule implements section 3004 of the Affordable Care Act, which establishes a new quality reporting program that provides for a reduction in the annual increase factor beginning in 2014 for failure to report quality data to the Secretary of Health and Human Services. This rule also updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year 2012 (for discharges occurring on or after October 1, 2011 and on or before September 30, 2012) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). Section 1886(j)(5) of the Act requires the Secretary to publish in the Federal Register on or before the August 1 that precedes the start of each FY the classification and weighting factors for the IRF prospective payment system (PPS) case-mix groups and a description of the methodology and data used in computing the prospective payment rates for that fiscal year. We are also consolidating, clarifying, and revising existing policies regarding IRF hospitals and IRF units of hospitals to eliminate unnecessary confusion and enhance consistency. Furthermore, in accordance with the general principles of the President's January 18, 2011 Executive Order entitled "Improving Regulation and Regulatory Review," we are amending existing regulatory provisions regarding "new" facilities and changes in the bed size and square footage of IRFs and inpatient psychiatric facilities (IPFs) to improve clarity and remove obsolete material.
RIN: 0938-AQ28
Impacts and Effects: Small Entities (Business)
CFR Citation: 42 CFR 412
Priority: Economically Significant
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Fall 2011
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: Social Security Act, sec 1886(j), PL 106-554, PL106-113, PL 111-148, sec 3004
Government Levels Affected: Federal
Federalism Implications: No
Unfunded Mandates: No
Requires Regulatory Flexibility Analysis: No
Small Entities Affected: Business
International Impacts: No
Energy Effects: No
Included in Regulatory Plan: No
Legal Deadline
ActionDateFR Citation
NPRM04/29/201176 FR 24214
NPRM Comment Period End06/21/2011
Final Action08/05/201176 FR 47836
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

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Comment Period Closed
Jun 21, 2011 11:59 PM ET
Proposed Rule
Posted: 04/29/2011
ID: CMS-2011-0059-0002
Comment Period Closed
Apr 29, 2011 11:59 PM ET
Proposed Rule
Posted: 04/26/2011
ID: CMS-2011-0059-0001
Comments Not Accepted
Posted: 08/01/2011
ID: CMS-2011-0059-0050

Supporting Documents

No documents available.


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Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Gwendolyn Johnson
Health Insurance Specialist
Center for Medicare Management Mail Stop C5-06-27 7500 Security Boulevard
Baltimore, MD 21244
*This count refers to the total comment/submissions received on this docket, as of 11:59 PM yesterday. Note: Agencies review all submissions, however some agencies may choose to redact, or withhold, certain submissions (or portions thereof) such as those containing private or proprietary information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. This can result in discrepancies between this count and those displayed when conducting searches on the Public Submission document type. For specific information about an agency’s public submission policy, refer to its website or the Federal Register document.