# 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
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2023-08-07 · Effective 2023-10-01 · 88 FR 53200
## Document
- **Document number:** 2023-16249
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 88 FR 53200
- **CFR reference:** 42 CFR 411
- **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.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2023/08/07/2023-16249/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities)
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