Data / Federal rules / 2024-06812
Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025
The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on April 3, 2024. Comments closed on May 28, 2024.
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What the agency says
This rule proposes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for FY 2025. First, we are proposing to rebase and revise the SNF market basket to reflect a 2022 base year. Next, we are proposing to update the wage index used under the SNF PPS to reflect data collected during the most recent decennial census. Additionally, we are proposing several technical revisions to the code mappings used to classify patients under the Patient Driven Payment Model (PDPM) to improve payment and coding accuracy. Finally, this proposed rule includes a Request for Information (RFI) on potential updates to the Non-Therapy Ancillary (NTA) component of PDPM. This rulemaking also proposes to update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. We are also proposing to expand CMS' enforcement authority for imposing civil money penalties (CMPs). Finally, this proposed rule includes proposals to strengthen nursing home enforcement requirements.
Key facts
- Document number
- 2024-06812
- Type
- Proposed rule
- Action
- Proposed rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- April 3, 2024
- Comments due
- May 28, 2024
- Dates
- To be assured consideration, comments must be received at one of the addresses provided below, by May 28, 2024.
- Docket
- CMS-1802-P
- Regulation ID (RIN)
- 0938-AV30
- Code of Federal Regulations
- 42 CFR 413; 42 CFR 488
- Topics
- Administrative practice and procedure; Diseases; Health facilities; Health professions; Medicare; Puerto Rico; Reporting and recordkeeping requirements
- Pages
- 72
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on diseases · Rules on health facilities · Published in April 2024
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