The May 11, 2012, Federal Register includes the Centers for Medicare & Medicaid Services’ (CMS) proposed rule changes to the Long-Term Care Hospitals Prospective Payment System (LTCH PPS) for federal fiscal year 2013. Among the changes in the proposed rule: LTCH Rate Updates: The proposed LTCH-specific market is based solely on Medicare cost report data of LTCHs and excludes Inpatient Rehabilitation Facilities (IRFs) and Inpatient Psychiatric Facilities (IPFs) for the first time