Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Value-Based Purchasing Program for Federal Fiscal Year 2021
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2020-08-05 · Effective 2020-10-01 · 85 FR 47594
Document
Document number
2020-16900
Federal Register citation
85 FR 47594
CFR reference
42 CFR 409
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2020-08-05
Effective date
2020-10-01
HHS docket
CMS-1737-F
Abstract
This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2021. We are also making changes to the case-mix classification code mappings used under the SNF PPS and making two minor revisions in the regulation text. Additionally, we are adopting the recent revisions in Office of Management and Budget (OMB) statistical area delineations. This rule also updates the Skilled Nursing Facility Value-Based Purchasing (VBP) Program that affects Medicare payment to SNFs.