HHS Indian Health Service 2025 Rates


On Dec. 16, HHS issued reimbursement rates for calendar year 2025.


  • HHS Director of the Indian Health Service (IHS) has approved the rates for inpatient and outpatient medical care provided by the IHS facilities for calendar year 2025.
  • Inpatient rates for Medicare Part A are excluded from the table since payments are made based on the prospective payment system, or on a reasonable cost basis.
  • Issued final rule to pay an add-on to Medicare per visit rate listed below for high-cost drugs for people with Medicare who receive care at IHS or Tribal hospitals, #235033.
  • Effectiveness
  • Calendar year 2025 rates effective for services provided on or after Jan. 1, 2025, to extent consistent with payment authorities, including applicable Medicaid State plan.

Regulators HHS
Entity Types Ins
Reference 89 FR 101607, 12/16/2024; RIN 0917-AA25;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health; Medicare
Regions Am
Rule Type Final
Rule Date 12/16/2024
Effective Date 1/1/2025
Rule Id 237310
Linked to Rule :235033
Reg. Last Update 12/16/2024
Report Section US Insurance

Last substantive update on 12/18/2024