Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2023-08-07 · Effective 2023-10-01 · 88 FR 53200
Document
Document number
2023-16249
Federal Register citation
88 FR 53200
CFR reference
42 CFR 411
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2023-08-07
Effective date
2023-10-01
HHS docket
CMS-1779-F
Abstract
This final rule updates payment rates, including implementing the second phase of the Patient Driven Payment Model (PDPM) parity adjustment recalibration. This final rule also updates the diagnosis code mappings used under PDPM, the SNF Quality Reporting Program (QRP), and the SNF Value-Based Purchasing (VBP) Program. We are also eliminating the requirement for facilities to actively waive their right to a hearing in writing, treating as a constructive waiver when the facility does not submit a request for hearing.