# Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2025-08-05 · Effective 2025-10-01 · 90 FR 37678
## Document
- **Document number:** 2025-14780
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 90 FR 37678
- **CFR reference:** 42 CFR 412
- **Publication date:** 2025-08-05
- **Effective date:** 2025-10-01
- **HHS docket:** CMS-1829-F
## Abstract

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2026. As required by statute, this final rule includes the 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 prospective payment rates for FY 2026. It also continues the second year of the 3-year phaseout of the rural adjustment, which began in FY 2025. Additionally, the final rule includes updates to the IRF Quality Reporting Program.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2025/08/05/2025-14780/medicare-program-inpatient-rehabilitation-facility-prospective-payment-system-for-federal-fiscal)
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