US · guidance
CMS Pub. 100-04, ch. 3, § 140.1.8
Mergers
If an IRF hospital (or a hospital with an IRF unit) merges with another hospital and the
owner(s) of the merged hospital accept assignment of the IRF hospital’s provider
agreement (or the provider agreement of the hospital with the IRF unit), then the IRF
hospital or IRF unit retains its excluded status and will continue to be paid under the IRF
PPS before and after the merger, as long as the IRF hospital or IRF unit continues to meet
all of the requirements for payment under the IRF PPS. Note that an IRF’s payment status
under the IRF PPS is a Medicare classification status, which cannot be separated from its
host hospital and therefore cannot be merged with another entity outside of the merger
with its host hospital.
If the owner(s) of the merged hospital do not accept assignment of the IRF hospital’s
provider agreement (or the provider agreement of the hospital with the IRF unit), then the
IRF hospital or IRF unit is considered voluntarily terminated and the owner(s) of the
merged hospital may re-apply to the Medicare program to operate a new IRF under the
requirements for new IRFs in §140.1.4 above.
History
(Rev. 2673, Issued: 03-14-13, Effective: 04-22-13, Implementation: 04-22-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
762fbd76e2a048d8edeb00497872ce2307485534940b79380217479224dd581b
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.