2025 FINAL RULES SKILLED NURSING
An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg
Final FY 2025 Skilled Nursing Facility PPS Update Issued The Centers for Medicare and Medicaid Services (CMS) have issued its final rule to update the Medicare Skilled Nursing Facility prospective payment system (SNF) for FY 2025.
The 315-page document is scheduled for publication in the Federal Register on August 6.
A copy is currently available at: https://publicinspection.federalregister.gov/2024-16907.pdf.
The rule includes a market-basket forecast adjustment. CMS is rebasing and revising the SNF market basket to reflect a 2022 base year. CMS is updating the wage index CBSA delineations resulting from a new OMB bulletin.
Additionally, CMS is adopting several technical revisions to the code mappings used to classify patients under the Patient Driven Payment Model (PDPM). The rulemaking also is updating the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.