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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) 

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.


None. This is a statutory requirement.

Anticipated Costs and Benefits:

Total expenditures will be adjusted for FY 2018.


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

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