0938-AV02 202210 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 2024 Skilled Nursing Facility (SNFs) Prospective Payment System and Consolidated Billing and Updates to the Value-Based Purchasing and Quality Reporting Programs (CMS-1779)

This annual proposed rule would update the payment rates used under the prospective payment system for SNFs for fiscal year 2024.  The rule also includes proposals for the SNF Quality Reporting Program (QRP) and for the Skilled Nursing Facility Value-Based Purchasing (VBP) Program that will affect Medicare payment to SNFs. In addition, this rule also proposes to establish new minimum staffing requirements that facilities must meet to ensure safe and quality care.

]]> Economically Significant First Time Published in The Unified Agenda Proposed Rule Stage Yes Undetermined 42 CFR 413 42 U.S.C 1395hh 42 U.S.C. 1302 Statutory Final 10/01/2023 By statute, rule must be effective by October 1 annually. 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 2023. These changes would be applicable to services furnished on or after October 1, 2023.

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None. This is a statutory requirement.

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Total expenditures will be adjusted for FY 2024.

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None.  The rule is necessary for SNF services to be paid appropriately.

]]> NPRM 04/00/2023 Undetermined Undetermined Undetermined No No Tammy Luo Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-4325 tammy.luo@cms.hhs.gov Center for Medicare, MS: C5-06-17, 7500 Security Boulevard, Baltimore MD 21244