Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) Proposed Rule for FY 2019, SNF Value-Based Purchasing Program, and SNF Quality Reporting Program (CMS-1696-P)

33 organizations filed 33 public comments on Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) Proposed Rule for FY 2019, SNF Value-Based Purchasing Program, and SNF Quality Reporting Program (CMS-1696-P), at the Centers for Medicare & Medicaid Services. The comment window closed 2919d ago.

Abstract

This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2019. This proposed rule also proposes to replace the existing case-mix classification methodology, the Resource Utilization Groups, Version IV (RUG-IV) model, with a revised case-mix methodology called the Patient-Driven Payment Model (PDPM) effective October 1, 2019. It also proposes revisions to the regulation text that describes a beneficiary’s SNF “resident” status under the consolidated billing provision and the required content of the SNF level of care certification. The proposed rule also includes proposals for the SNF Quality Reporting Program (QRP) and the Skilled Nursing Facility Value-Based Purchasing (VBP) Program that will affect Medicare payment to SNFs.

Commenters (33)

• AL--(UAB) The University of Alabama at Birminghamunverified attribution

  1 filing · confidence 70%
• American Health Care Association (AHCA/NCAL)trade assoc.

  1 filing · confidence 97%
• Arkansas Speech Languange Hearing Associationtrade assoc.

  1 filing · confidence 85%
• CA-California Hospital Associationtrade assoc.

  1 filing · confidence 85%
• CO - American Association of Nurse Assessment Coordinationtrade assoc.

  1 filing · confidence 85%
• Consumer Technology Associationtrade assoc.

  1 filing · confidence 97%
• DC - National Association for the Support of Long Term Caretrade assoc.

  1 filing · confidence 85%
• DC - Service Employees International Unionunverified attribution

  1 filing · confidence 70%
• DC--American Hospital Associationtrade assoc.

  1 filing · confidence 85%
• DC--Kidney Care Counciltrade assoc.

  1 filing · confidence 85%
• Erin (University at Buffalo Center for Assistive Technology)unverified attribution

  1 filing · confidence 70%
• Hansen Hunter & Companyunverified attribution

  1 filing · confidence 70%
• IL--American Health Information Management Associationtrade assoc.

  1 filing · confidence 85%
• MA--Massachusetts Speech-Language Hearing Associationtrade assoc.

  1 filing · confidence 85%
• MD-American Speech-Language-Hearing Associationtrade assoc.

  1 filing · confidence 85%
• MI--Michigan Health & Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MN - CareChoice Cooperativeunverified attribution

  1 filing · confidence 70%
• MN--Thrifty White Drug Inc.unverified attribution

  1 filing · confidence 70%
• MO - Cerner Corporationunverified attribution

  1 filing · confidence 70%
• MO - National American Universityunverified attribution

  1 filing · confidence 70%
• NY - American Geriatrics Societytrade assoc.

  1 filing · confidence 85%
• NY--Healthcare Association of New York Statetrade assoc.

  1 filing · confidence 85%
• OH - Ohio Health Information Partnership/CliniSync HIEtrade assoc.

  1 filing · confidence 85%
• OH - PointClickCare Technologies Inc.unverified attribution

  1 filing · confidence 70%
• OH - The University of Findlay Occupational Therapy Programunverified attribution

  1 filing · confidence 70%
• TN - Tennessee Health Care Associationtrade assoc.

  1 filing · confidence 85%
• TN--Tennessee Hospital Associationtrade assoc.

  1 filing · confidence 85%
• TX - Texas Occupational Therapy Associationtrade assoc.

  1 filing · confidence 85%
• VA - American Therapeutic Recreation Associationtrade assoc.

  1 filing · confidence 85%
• VA--American Society of Consultant Pharmaciststrade assoc.

  1 filing · confidence 85%
• VA--Consumer Technology Associationtrade assoc.

  1 filing · confidence 85%
• VA--Virginia Hospital & Healthcare Associationtrade assoc.

  1 filing · confidence 85%
• VA-American Physical Therapy Associationtrade assoc.

  1 filing · confidence 85%