Review Choice Demonstration (RCD) Information and Resources

RCD State Expansion

On December 1, 2025, CMS announced its expansion of the IRF Review Choice Demonstration (RCD) in Texas effective March 2, 2026, and in California effective May 1, 2026. IRF providers can make their review choice selection of either 100% pre-claim review or 100% post payment review on the following dates:

Texas:

  • Selection period start date: January 15, 2026
  • Selection period end date: February 13, 2026

California:

  • Selection period start date: March 16, 2026
  • Selection period end date: April 14, 2026

If your facility needs help preparing for RCD implementation, contact Marjorie Mantione, Manager of Clinical Consulting IRF Services, at [email protected].

RCD Website Released

CMS recently released the website for the Review Choice Demonstration for Inpatient Rehabilitation Services and announced an August 21, 2023, start date in Alabama. Click here to access the website. CMS and Palmetto will be providing updates, reference material, and educational resources on this website in coming weeks. You can refer to this section of our website for a link to these resources as they are announced.

RCD Website Updated

CMS has added two new documents to the RCD website.

  • Click here to view the IRF RCD Operational Guide, which provides additional detail on the IRF processes affected by the RCD.
  • Click here to view a standalone copy of the IRF RCD Process Flow Sheet, which is also included as an appendix in the operational guide.