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
August 1, 2025
At A Glance
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its fiscal year (FY) 2026 final rule for the skilled nursing facility (SNF) prospective payment system (PPS).
KEY HIGHLIGHTS
The final rule will:
- Increase aggregate SNF payments by an estimated 3.2% ($1.16 billion) in FY 2026 relative to FY 2025.
- Make technical changes to its Patient-driven Payment Model (PDPM) ICD-10 code mapping that assigns patients to clinical categories.
- For the SNF quality reporting program (QRP), remove four patient assessment data elements related to social drivers of health.
- For the SNF value-based purchasing program (VBP), remove the program’s health equity adjustment.
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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