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CMS

Post-Acute Care Quality Programs





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Long Term Care Hospital (LTCH) Prospective Payment system (PPS) and Updates to the Quality Reporting Program (QRP) for FY 2026 LTCH PPS Proposed Rule (CMS-1833-P)

On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1833-P) that provides updates to the fiscal year (FY) Long Term Care Hospital Quality Reporting Program (LTCH QRP). In this proposed rule, CMS is proposing the removal of the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date vaccine item (O0350) from the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) as it pertains to patients who expire in an LTCH and four assessment items in the Social Determinants of Health (SDOH) category: one item for Living Situation, two items for Food, and one item for Utilities.  CMS is also proposing to amend the LTCH QRP reconsideration policy and process.  Finally, CMS is seeking feedback with three Requests for Information (RFI) including future quality measure concepts for the LTCH QRP; potential revisions to the data submission deadlines for assessment data collected for the LTCH QRP; and advancing digital quality measurement in LTCHs.

The proposed rule went on display at the Federal Register and will be available at: https://www.federalregister.gov/public-inspection






Center for Clinical Standards and Quality








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