CMS Issues Second Wave of Changes in Response to COVID-19

On April 30, CMS issued its second round of regulatory waivers and changes to increase access to testing and provide greater flexibilities to support care delivery in the wake of COVID-19, including for telehealth services, hospitals, ACOs, home health, and therapists. Click to read more.

FY 2021 Proposed Rule for IPFs

CMS indicates that they are proposing rules with minimal policy changes in order to alleviate regulatory burden on providers due to COVID19. This brief summarizes the FY 2021 proposed rule for Inpatient Psychiatric Facilities (IPFs). Click to read more.

CMS Announces First Approval of Serious Mental Illness Waiver

On November 6th, CMS announced the approval of DC’s Medicaid 1115 Waiver that expands access to behavioral health treatment. This waiver, which will go into effect on January 1, 2020, will broaden services available to beneficiaries diagnosed with serious mental illness (SMI) or serious emotional disturbance (SED) and provide new services for beneficiaries diagnosed with substance use disorder (SUD). Click to read more.

CMS Finalizes +1.5% Update To 2020 IPFs

CMS has finalized the Inpatient Psychiatric Facility (IPF) rule for FY2020. The rule has no major policy changes and updates rates by +1.75% which combined with adjustments to the outlier threshold is projected to increase IPF payments by +1.5%. Click to read more.

Inpatient Psych Proposed Rule For FY2020

CMS recently released proposed updates to the Inpatient Psychiatric Facilities (IPF) Prospective Payment System (PPS). The proposed rule is stable for IPFs, with an estimated update to prospective payment rates of 1.7%, and the addition of one measure to the IPF Quality Reporting Program. Click to read more.

CMS Releases FY2019 PPS Final Rules for IPF & IRF

CMS recently finalized a +1.1% update to the Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS). This brief summarizes updates that will be effective for discharges occurring during fiscal year 2019 and the IPF Quality Reporting Program (QRP). Click to read more. Likewise, CMS finalized a +1.3% update to the Inpatient Rehabilitation Facility (IRF) PPS, which will be effective for discharges occurring during fiscal year 2019 and the IRF QRP. This brief summarizes key provisions included in the final rule. Click to read more.