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HHS/CMS RIN: 0938-AI47 Publication ID: Fall 1998 
Title: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities. (HCFA-1913-IFC) 
Abstract: This interim final rule implements provisions in section 4432 of the Balanced Budget Act of 1997 related to Medicare payment for skilled nursing facility services. These include the implementation of a Medicare prospective payment system for skilled nursing facilities, consolidated billing, and a number of related changes. The prospective payment system described in this rule replaces the retrospective reasonable cost based system currently utilized by Medicare for payment of skilled nursing facility services under part A of the program. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 409    42 CFR 410    42 CFR 411    42 CFR 413    42 CFR 483    42 CFR 489   
Legal Authority: PL 105-33, sec 4432(a)   
Timetable:
Action Date FR Cite
Interim Final Rule  05/12/1998  63 FR 26252   
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Governmental Jurisdictions 
Included in the Regulatory Plan: No 
Agency Contact:
Laurence Wilson
Center for Medicare Management
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244-1850
Phone:410 786-4603