Medicare Program; FY 2027 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update

Document 2026-15588 is a Final Rule published by the Department of Health and Human Services in the Federal Register on July 31, 2026, with an effective date of October 1, 2026. This final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPFs), which include psychiatric hospitals and excluded psychiatric units of an acute care hospital or critical access hospital. This final rule also refines the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) outlier policy. These changes will be effective for IPF discharges occurring during the fiscal year beginning October 1, 2026, through September 30, 2027. We are also finalizing the implementation of a standardized IPF patient assessment instrument, and removing two measures used in the Inpatient Psychiatric Facilities Quality Reporting Program. View the original at https://www.federalregister.gov/documents/2026/07/31/2026-15588/medicare-program-fy-2027-inpatient-psychiatric-facilities-prospective-payment-system-rate-update.

No. Document 2026-15588 is not classified as economically significant under Executive Order 12866. Economically significant rules require OIRA review and are estimated to have impacts of $100 million or more per year.