2024 IRF PPS Proposed Rule
On April 3, 2023, the Centers for Medicare & Medicaid Services (CMS) released the proposed Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) rule for fiscal year (FY) 2024. This proposed rule would update the prospective payment rates for IRFs starting on October 1, 2023.
The proposed rule includes the proposed classification and weighting factors for the IRF prospective payment system’s case-mix groups and a description of the methodologies and data used in computing the proposed prospective payment rates for FY 2024. The proposed rule would modify the regulation regarding when IRF units can become excluded and paid under the IRF PPS, and includes updates for the IRF Quality Reporting Program (QRP).
A fact sheet for this proposed rule can be found on the CMS website.
2024 SNF PPS Proposed Rule
On April 4, 2023, CMS released the proposed Skilled Nursing Facility (SNF) PPS rule for FY 2024. This proposed rule would update the prospective payment rates for SNFs starting on October 1, 2023.
The proposed rule would update Medicare payment policies and rates for SNFs for FY 2024, and includes proposals for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program for FY 2024 and future years.
A fact sheet for this proposed rule can be found on the CMS website.
Comments on the IRF PPS are due to CMS on June 2 and comments on the SNF PPS proposed rule are due to CMS on June 5, 2023. CMS is expected to release final rules for the IRF and SNF PPS later this summer.
Academy staff is carefully reviewing the text for both proposed rules and, if applicable, will draft comments for submission to CMS and distribution to membership. Members with questions about either of these proposed rules can contact Academy staff at healthpolicy@aapmr.org.