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HHS/CMS RIN: 0938-AV02 Publication ID: Fall 2022 
Title: ●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.

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 413   
Legal Authority: 42 U.S.C 1395hh    42 U.S.C. 1302   
Legal Deadline:
Action Source Description Date
Final  Statutory  By statute, rule must be effective by October 1 annually.  10/01/2023 

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 2023. These changes would be applicable to services furnished on or after October 1, 2023.


None. This is a statutory requirement.

Anticipated Costs and Benefits:

Total expenditures will be adjusted for FY 2024.


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

Action Date FR Cite
NPRM  04/00/2023 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: Undetermined 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Tammy Luo
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-06-17, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4325