CMS, OIG, and Other Agency Resources
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries, Office of the Inspector General (March 3, 2014)
Skilled Nursing Facility PPS
May 15, 2025
At A Glance
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its fiscal year (FY) 2026 proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS). This rule proposes to update SNF payments and modify the SNF quality reporting program (QRP) measures and reporting requirements.
KEY HIGHLIGHTS
The proposed rule would:
- Increase aggregate SNF payments by an estimated 2.8% ($997 million) in
FY 2026 relative to FY 2025. This includes a 3.0% market basket update
reduced by a 0.8% productivity cut and a 0.6% increase due to a FY 2024
market basket forecast error. - For the SNF QRP, remove four patient assessment data elements.
- For the SNF value-based purchasing program (VBP), remove the program’s health equity adjustment.
- Solicit comments on approaches and opportunities to streamline regulations and reduce administrative burdens on hospitals and other providers.
View the entire AHA Regulatory Advisory.
Key Resources
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- Regulatory Advisory: Skilled Nursing Facility PPS Proposed Rule for FY 2023 (5-20-22)
- Regulatory Advisory: Skilled Nursing Facility PPS Final Rule for FY 2022, (8-26-21)
- Special Bulletin: CMS Releases FY 2022 IRF and SNF PPS Final Rules (7-30-21)
- Advisory: Skilled Nursing Facility PPS Proposed Rule for FY 2022 (4-29-21)
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- Letter: Comments to CMS on its CY 2023 Proposed Skilled Nursing Facility PPS (6-16-22)
- Letter: AHA Raises Concerns With Prototype PAC Payment Model (8-24-21)
- Letter: AHA Comments on Skilled Nursing Facility Proposed Rule For FY 2022 - 6-7-2021
- Member Call: Skilled Nursing Facility PPS: Proposed Rule FY2021, May 20, 2020
- Member Call: Skilled Nursing Facility PPS: Final Rule for FY 2020 (August 21, 2019
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