United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2017_register executive 2017-08-04 article Part II Rules and Regulations D09002ee1c7f1204d D09002ee1c7f120f5 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency 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. 82 FR 36530 https://www.govinfo.gov/app/details/FR-2017-08-04/2017-16256 2017-16256 fr04au17-14 RIN 0938-AS96 4120-01-P CMS-1679-F https://www.govinfo.gov/app/details/FR-2017-08-04/2017-16256 https://www.govinfo.gov/content/pkg/FR-2017-08-04/html/2017-16256.htm https://www.govinfo.gov/content/pkg/FR-2017-08-04/pdf/2017-16256.pdf Health Facilities Medicare Diseases Reporting and Recordkeeping Requirements Emergency Medical Services Health Professions Administrative Practice and Procedure 107 p. 36530 36636 82 FR 36530 Title 42 Part 409 42 CFR Part 409 Title 42 Part 411 42 CFR Part 411 Title 42 Part 413 42 CFR Part 413 Title 42 Part 424 42 CFR Part 424 Title 42 Part 488 42 CFR Part 488 RIN 0938-AS96 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020; Federal Register Vol. 82, Issue RULE 2017-16256 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2017-10-01 CMS-1679-F 4120-01-P 2017-16256 Final rule.

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.

These regulations are effective on October 1, 2017. Penny Gershman, (410) 786-6643, for information related to SNF PPS clinical issues. Health Facilities Medicare Diseases Reporting and Recordkeeping Requirements Emergency Medical Services Health Professions Administrative Practice and Procedure Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, etc. , CMSDNHS@cms.hhs.gov PACQualityInitiative@cms.hhs.gov SNFQRPReconsiderations@cms.hhs.gov SNFVBPinquiries@cms.hhs.gov CMS.gov http://doi.org/10.1016/j.jamda.2014.11.018 http://jamanetwork.com/journals/jama/fullarticle/1915609 http://medpac.gov/docs/default-source/reports/mar13_ch03.pdf http://medpac.gov/docs/default-source/reports/mar17_entirereport.pdf http://medpac.gov/docs/default-source/reports/mar17_medpac_ch8.pdf http://www.ahrq.gov/workingforquality/nqs/nqs2011annlrpt.htm http://www.bea.gov/industry/io_annual.htm http://www.bea.gov/national/FA2004/Details/Index.html http://www.bea.gov/papers/pdf/IOmanual_092906.pdf http://www.bls.gov/mfp http://www.bls.gov/oes/current/oes_nat.htm http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/Legislative_History_04152015.pdf http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/index.html http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/CARE-Item-Set-and-B-CARE.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/CMS-Quality-Strategy.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/MarketBasketResearch.html http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30FinalReport.pdf http://www.o-wm.com/article/two-year-retrospective-review-suspected-deep-tissue-injury-evolution-adult-acute-care-patien http://www.o-wm.com/content/the-npuap-dual-mission-conference-reaching-consensus-staging-and-deep-tissue-injury http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=2633 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=2634 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=2635 http://www.qualityforum.org/ProjectTemplateDownload.aspx?SubmissionID=2636 http://www.qualityforum.org/qps/2633 http://www.qualityforum.org/qps/2634 http://www.qualityforum.org/qps/2635 http://www.qualityforum.org/qps/2636 http://www.qualityforum.org/Setting_Priorities/Partnership/MAP_Final_Reports.aspx http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=81593 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=83640 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=84452 http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=idamp http://www.youtube.com/user/CMSHHSgov https://aspe.hhs.gov/pdf-report/report-congress-social-risk-factors-and-performance-under-medicares-value-based-purchasing-programs https://obamawhitehouse.archives.gov/omb/circulars_a004_a-4/ https://www.bls.gov/oes/current/oes_nat.htm https://www.cms.gov/Medicare/Billing/SNFConsolidatedBilling/Downloads/2017-General-Explanation.pdf https://www.cms.gov/Medicare/Billing/SNFConsolidatedBilling/index.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/IRF-Quality-Reporting/IRF-PAI-and-IRF-QRP-Manual.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/SNFRM-Technical-Report-3252015.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/index.html?redirect=/NursingHomeQualityInits/30_NHQIMDS30TechnicalInformation.asp#TopOfPage https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/mds30raimanual.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformation.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-QR-Reconsideration-and-Exception-and-Extension.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Measures-and-Technical-Information.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Spotlights-and-Announcements.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Training.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/CARE-Item-Set-and-B-CARE.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/Development-of-a-Cross-Setting-Pressure-Ulcer-Quality-Measure-Summary-Report-on-November-15-2013-Technical-Expert-Pa.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/Development-of-a-Cross-Setting-Quality-Measure-for-Pressure-Ulcers-Information-Gathering-Final-Report.pdf https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/IMPACT-Act-of-2014/IMPACT-Act-Downloads-and-Videos.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Other-VBPs/SNF-VBP.html https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Other-VBPs/SNFPPR-Technical-Report.pdf https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE0432.pdf https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/Downloads/alternativeindexweights.pdf https://www.health.ny.gov/health_care/medicaid/redesign/nursing_home_quality_initiative https://www.sba.gov/contracting/getting-started-contractor/make-sure-you-meet-sba-size-standards https://www.whitehouse.gov/omb/bulletins_b03-04 www.cms.gov/transmittals/downloads/ab001860.pdf www.cms.gov/transmittals/downloads/r160cp.pdf Vol. 82, no. 149 Office of the Federal Register, National Archives and Records Administration 2017-08-04 continuing daily deposited born digital 374 p. 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