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Data / Federal rules / 2024-16907

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 final rule in the Federal Register on August 6, 2024. It took effect on October 1, 2024.

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What the agency says

This final rule finalizes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year (FY) 2025. First, we are rebasing and revising the SNF market basket to reflect a 2022 base year. Next, we update the wage index used under the SNF PPS to reflect data collected during the most recent decennial census. Additionally, we finalize several technical revisions to the code mappings used to classify patients under the Patient Driven Payment Model (PDPM) to improve payment and coding accuracy. This final rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value- Based Purchasing Program. Finally, we also are revising CMS' enforcement authority for imposing civil money penalties (CMPs) and including revisions to strengthen nursing home enforcement regulations.

Key facts

Document number
2024-16907
Type
Final rule
Action
Final rule
Agency
Health and Human Services Department; Centers for Medicare & Medicaid Services
Published
August 6, 2024
Takes effect
October 1, 2024
Dates
These regulations are effective on October 1, 2024.
Docket
CMS-1802-F
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
116

The document on federalregister.gov PDF

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Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on diseases · Rules on health facilities · Published in August 2024

Read from the Federal Register API, last updated 2026-10-24. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.