# Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 1999-07-30 · Effective 1999-09-28 · 64 FR 41644
## Document
- **Document number:** 99-19478
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 64 FR 41644
- **CFR reference:** 42 CFR 409
- **Publication date:** 1999-07-30
- **Effective date:** 1999-09-28
- **HHS docket:** HCFA-1913-F
## Abstract

This final rule responds to comments submitted by the public on our May 12, 1998 interim final rule, that implemented provisions in section 4432 of the Balanced Budget Act of 1997 regarding Medicare payment for skilled nursing facility services. This legislation established a prospective payment system, a consolidated billing provision, and a number of related changes.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/1999/07/30/99-19478/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities)
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