CHA News

CMS Issues FFY 2025 Inpatient Psychiatric Facility PPS Proposed Rule

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its federal fiscal year (FFY) 2025 inpatient psychiatric facility (IPF) prospective payment system (PPS) proposed rule. 

What else to know: Comments are due to CMS by 2 p.m. (PT) on May 28.  

In the rule, CMS proposes to: 

  • Update the IPF PPS payment rates by 2.7%, based on the proposed 2021-based IPF market basket increase of 3.1% less a proposed 0.4 percentage point productivity adjustment. 
  • Revise IPF PPS patient-level adjustment factors. 
  • Increase the electroconvulsive therapy per treatment amount to $660.30. 
  • Adopt one new measure, the 30-Day Risk-Standardized All-Cause Emergency Department Visit Following an Inpatient Psychiatric Facility Discharge measure. 
  • Require IPFs to submit patient-level quality data quarterly, as opposed to the current annual basis. 
  • Solicit comments to identify meaningful data elements for collection appropriate for the acute inpatient psychiatric care setting and potential criteria for the development and implementation of the instrument. 
  • Seek input on potential revisions to the IPF PPS facility-level adjustments in the future based on the results of more recent IPF cost and claim analysis. 

Additional details are available in a CMS fact sheet.