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HHS/CMS RIN: 0938-AL90 Publication ID: Fall 2003 
Title: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update for FY 2004 (CMS-1469-F) 
Abstract: This annual final rule would update the payment rates used under the skilled nursing facility (SNF) prospective payment system (PPS) beginning October 1, 2003. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 413.330 to 413.350   
Legal Authority: Sec 1888(e) of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory  final rule published on August 4, 2003.  07/31/2003 
NPRM  Statutory    04/01/2003 
Timetable:
Action Date FR Cite
NPRM  05/16/2003  68 FR 26758   
NPRM Comment Period End  07/07/2003    
Final Rule  08/04/2003  68 FR 46036   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
Agency Contact:
Bill Ullman
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
C4-13-15, Chronic Care Policy Group, Division of Institutional Post Acute Care, Mailstop C5-07-08, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:401 786-5667
Email: bill.ullman@cms.hhs.gov