Inpatient Psychiatric Facility PPS: Code of Federal Regulations Related to Inpatient Psychiatric Care
Guidance for applicable laws and regulations related to the inpatient psychiatric benefit provided by Medicare, the specific payment policies under the IPF PPS, and the requirements for inpatient services of psychiatric hospitals. It also provides links to basic information, laws, regulations, and compliance information related to being certified as a Medicare and/or Medicaid psychiatric hospital provider.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2020
This page provides links to the Electronic Code of Federal Regulations (eCFR) citations applicable to the inpatient psychiatric benefit provided by Medicare, the specific payment policies under the IPF PPS, and the requirements for inpatient services of inpatient psychiatric facilities. It also provides links to basic information, laws, regulations, and compliance information related to being certified as a Medicare and/or Medicaid psychiatric hospital provider.
- 42 CFR 409.62: Lifetime maximum on inpatient psychiatric care
- 42 CFR 412.22: Excluded hospitals and hospital units: General rules
- 42 CFR 412.23: Excluded hospitals: Classifications
- 42 CFR 412.25: Excluded hospital units: Common requirements
- 42 CFR 412.27: Excluded psychiatric units: Additional requirements
- 42 CFR 412 Subpart N: Prospective Payment System for Inpatient Hospital Services of Inpatient Psychiatric Facilities
- 42 CFR 424.14: Requirements for inpatient services of inpatient psychiatric facilities
- 42 CFR 482.60 through § 482.62: Special Conditions of Participation for Psychiatric Freestanding Facilities
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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.