CMS Releases FY2020 SNF Proposed Rule

April 22, 2019
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Rick Gawenda
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The Centers for Medicare and Medicaid Services (CMS) has released the Skilled Nursing Facility (SNF) fiscal year (FY) 2020 proposed rule. CMS has published a fact sheet that highlights 3 major provisions of the proposed rule that are:

  1. The proposed changes to SNF payment policy under the SNF Prospective Payment System (PPS)
  2. The SNF Value-Based Purchasing Program (VBP)
  3. The SNF Quality Reporting Program (QRP)

In FY 2020, CMS expects payments to SNF’s to increase by 2.5% compared to FY 2019. CMS is proposing to change the definition of group therapy in the SNF Part A setting to align with the inpatient rehabilitation definition of group which is: “group therapy consists of two to six patients doing the same or similar activities”.

CMS will accept comments on the proposed rule until June 18, 2019. To access the fact sheet and the proposed rule, click HERE. The proposed rule is scheduled to be published in the Federal Register on April 25, 2019.

In addition, Gawenda Seminars & Consulting, Inc. will be providing a webinar on June 4, 2019 from 1:00pm – 2:30pm EDT on the SNF Patient Driven Payment Model (PDPM) that will begin on October 1, 2019. This new payment model will fundamentally change the drivers of SNF payments and represents another step towards the CMS vision for value-based purchasing. CMS has openly discussed how the proposed PDPM will provide patients an opportunity “to choose a skilled nursing facility that offers services tailored to their condition and preferences”.

For additional information on this webinar and to register, click HERE.


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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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