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HHS/CMS

RIN: 0938-AS96

Publication ID: Fall 2016

Title: ●FY 2018 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) (CMS-1679-P)
Abstract: This annual proposed rule would update the payment rates used under the prospective payment system for SNFs for fiscal year 2018.
Agency: Department of Health and Human Services(HHS)	Priority: Economically Significant
RIN Status: First time published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
Major: Yes	Unfunded Mandates: Undetermined
CFR Citation: 42 CFR 483
Legal Authority: 42 U.S.C. 1302 42 U.S.C 1395hh

Legal Deadline:

Action	Source	Description	Date
Final	Statutory		07/31/2017

Statement of Need:

This proposed rule would update the SNF prospective payment rates as required under the Social Security Act (the Act). The Act requires the Secretary to provide, before the August 1 that precedes the start of each FY, the unadjusted federal per diem rates, the case-mix classification system, and the factors to be applied in making the area wage adjustment.

Summary of the Legal Basis:

In accordance with sections 1888(e)(4)(E)(ii)(IV) and 1888(e)(5) of the Act, the federal rates in this proposed rule would reflect an update to the rates that we published in the SNF PPS final rule for FY 2017, which reflects the SNF market basket index, as adjusted by the multifactor productivity (MFP) adjustment for FY 2018. These changes would be applicable to services furnished on or after October 1, 2017.

Alternatives:

None. This is a statutory requirement.

Anticipated Costs and Benefits:

Total expenditures will be adjusted for FY 2018.

Risks:

If this regulation is not published timely, SNF services will not be paid appropriately beginning October 1, 2017.

Timetable:

Action	Date	FR Cite
NPRM	04/00/2017

Regulatory Flexibility Analysis Required: Undetermined	Government Levels Affected: Undetermined
Federalism: No
Included in the Regulatory Plan: Yes
RIN Data Printed in the FR: No
Agency Contact: Bill Ullman Technical Advisor Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Medicare, MS: C5-06-27, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-5667 Fax:410 786-0765 Email: william.ullman@cms.hhs.gov