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HHS/CMS RIN: 0938-AS96 Publication ID: Fall 2017 
Title: FY 2018 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs), SNF Value-Based Purchasing Program, SNF Quality Reporting Program (CMS-1679-F) 
Abstract:

This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also revises and rebases the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, and Repair Services. The rule also finalizes revisions to the SNF Quality Reporting Program (QRP), including measure and standardized resident assessment data policies and policies related to public display. In addition, it finalizes policies for the Skilled Nursing Facility Value-Based Purchasing Program that will affect Medicare payment to SNFs beginning in FY 2019. The final rule also clarifies the regulatory requirements for team composition for surveys conducted for investigating a complaint and aligns regulatory provisions for investigation of complaints with the statutory requirements. The final rule also finalizes the performance period for the National Healthcare Safety Network (NHSN) Healthcare Personnel (HCP) Influenza Vaccination Reporting Measure included in the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) for Payment Year 2020.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: Regulatory 
CFR Citation: 42 CFR 413   
Legal Authority: 42 U.S.C. 1302    42 U.S.C 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory    07/31/2017 
Timetable:
Action Date FR Cite
NPRM  05/04/2017  82 FR 21014   
NPRM Comment Period End  06/26/2017 
Final Action  08/04/2017  82 FR 36530   
Final Action Effective  10/01/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: No 
Included in the Regulatory Plan: No 
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
Email: william.ullman@cms.hhs.gov