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 2019_register executive 2019-08-07 article Part II Rules and Regulations D09002ee1c7d20c06 D09002ee1c7d20ee7 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) 2020. We also are making minor revisions to the regulation text to reflect the revised assessment schedule under the Patient Driven Payment Model (PDPM). Additionally, we are revising the definition of group therapy under the SNF PPS, and are implementing a subregulatory process for updating the code lists (International Classification of Diseases, Tenth Version (ICD-10) codes) used under PDPM. In addition, the final rule updates requirements for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing (VBP) Program. 84 FR 38728 https://www.govinfo.gov/app/details/FR-2019-08-07/2019-16485 2019-16485 fr07au19-13 RIN 0938-AT75 4120-01-P CMS-1718-F https://www.govinfo.gov/app/details/FR-2019-08-07/2019-16485 https://www.govinfo.gov/content/pkg/FR-2019-08-07/html/2019-16485.htm https://www.govinfo.gov/content/pkg/FR-2019-08-07/pdf/2019-16485.pdf Health Facilities Medicare Diseases Reporting and Recordkeeping Requirements 106 p. 38728 38833 84 FR 38728 Title 42 Part 409 42 CFR Part 409 Title 42 Part 413 42 CFR Part 413 RIN 0938-AT75 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2020; Federal Register Vol. 84, Issue RULE 2019-16485 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2019-10-01 CMS-1718-F 4120-01-P 2019-16485 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) 2020. We also are making minor revisions to the regulation text to reflect the revised assessment schedule under the Patient Driven Payment Model (PDPM). Additionally, we are revising the definition of group therapy under the SNF PPS, and are implementing a subregulatory process for updating the code lists (International Classification of Diseases, Tenth Version (ICD-10) codes) used under PDPM. In addition, the final rule updates requirements for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing (VBP) Program.

These regulations are effective on October 1, 2019. Penny Gershman, (410) 786-6643, for information related to SNF PPS clinical issues. 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Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2019-08-07 P0b002ee1a25fcb8a 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr07au19 https://www.govinfo.gov/app/details/FR-2019-08-07 https://www.govinfo.gov/content/pkg/FR-2019-08-07/pdf/FR-2019-08-07.pdf https://www.govinfo.gov/content/pkg/FR-2019-08-07/xml/FR-2019-08-07.xml fdlp 38545 38845 DGPO 2019-08-07 2024-05-31 FR-2019-08-07 machine generated eng FR FR-2019-08-07 84 152