2021 PROPOSED RULES SKILLED NURSING

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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