# Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Value-Based Purchasing Program for Federal Fiscal Year 2021
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2020-08-05 · Effective 2020-10-01 · 85 FR 47594
## Document
- **Document number:** 2020-16900
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 85 FR 47594
- **CFR reference:** 42 CFR 409
- **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.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2020/08/05/2020-16900/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities)
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