CHA News

CMS Issues FFY 2023 LTCH PPS Proposed Rule

For CEOs, CFOs, post-acute care executives, finance & reimbursement staff, government relations staff

This post has been archived and contains information that may be out of date.

The Centers for Medicare & Medicaid Services (CMS) has issued its federal fiscal year (FFY) 2023 long-term care hospital (LTCH) prospective payment system (PPS) proposed rule. Comments are due to CMS by 2 p.m. (PT) on June 17.  

For FFY 2023, CMS proposes a net market basket update of 2.7%. Overall LTCH PPS payments are projected to increase by approximately $25 million. Due to a significant increase in the high-cost outlier threshold, outlier payments are expected to significantly decrease.  

No new measures were proposed for the LTCH Quality Reporting Program (QRP), but CMS did include several requests for information on: 

  • Inclusion of the National Healthcare Safety Network (NHSN) Healthcare-associated Clostridioides difficile Infection Outcome Measure in the LTCH QRP 
  • Inclusion of a digital Centers for Disease Control and Prevention NHSN Healthcare-associated Clostridioides difficile Infection Outcome Measure into the LTCH QRP 
  • The agency’s overarching principles for measuring health care disparities across CMS quality programs, including the LTCH QRP, as well as quality measure concepts under consideration for future years 

Additional information is available in a CMS fact sheet.