An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg

CMS Proposes Skilled Nursing Facility FY 2021 PPS Update

The Centers for Medicare and Medicaid Services (CMS) have issued a proposed rule to update the Medicare payment rates for skilled nursing facilities (SNFs) for FY 2021.

These updates include routine technical rate-setting updates to the SNF PPS payment rates, as well as a proposal to adopt the most recent Office of Management and Budget (OMB) statistical area delineations and apply a 5.0 percent cap on wage index decreases from FY 2020 to FY 2021. CMS is also proposing changes to the ICD-10 code mappings that would be effective beginning in FY 2021. Finally, this rule includes minor administrative proposals related to the SNF Value-Based Purchasing (VBP) Program

The 93-page document is scheduled for publication in the Federal Register on April 14. A copy is currently available at: https://s3.amazonaws.com/public-inspection.federalregister.gov/2020-07875.pdf. This link will, of course, change upon publication. A 60-day comment period ending June 9 is provided.

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