0938-AS96 201610 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS FY 2018 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) (CMS-1679-P)

This annual proposed rule would update the payment rates used under the prospective payment system for SNFs for fiscal year 2018.

]]> Economically Significant First Time Published in The Unified Agenda Proposed Rule Stage Yes Undetermined 42 CFR 483 42 U.S.C. 1302 42 U.S.C 1395hh Statutory Final 07/31/2017 Yes

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.

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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.

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None. This is a statutory requirement.

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Total expenditures will be adjusted for FY 2018.

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

]]> NPRM 04/00/2017 Undetermined Undetermined No No No Bill Ullman Technical Advisor 0938 Centers for Medicare & Medicaid Services CMS 410 786-5667 410 786-0765 william.ullman@cms.hhs.gov Center for Medicare, MS: C5-06-27, 7500 Security Boulevard, Baltimore MD 21244