Federal Register Final Rule: Medicare and Medicaid Programs; Repeal of Minimum Staffing Standards for Long-Term Care Facilities
Policy FR-2025-21792 • Skilled Nursing Facility
HighThe repeal of minimum staffing standards for long-term care facilities may negatively impact reimbursement due to potential declines in quality of care, influencing claims and patient outcomes. This c
Federal Register Final Rule: 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 2025; Correction
Policy FR-2024-22504 • Skilled Nursing Facility
HighThe correction of technical errors in the FY 2025 SNF final rule will ensure accurate implementation of the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities. This may
Federal Register Final Rule: Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting; Correction
Policy FR-2024-13795 • Skilled Nursing Facility
HighThe correction of typographical and technical errors in the Minimum Staffing final rule is crucial for ensuring accurate implementation of minimum staffing standards in long-term care facilities. This
Federal Register Final Rule: Medicare and Medicaid Programs; Policy and Regulatory Changes to the Omnibus COVID-19 Health Care Staff Vaccination Requirements; Additional Policy and Regulatory Changes to the Requirements for Long-Term Care (LTC) Facilities and Intermediate Care Facilities for Individuals With Intellectual Disabilities (ICFs-IID) To Provide COVID-19 Vaccine Education and Offer Vaccinations to Residents, Clients, and Staff; Policy and Regulatory Changes to the Long Term Care Facili
Policy FR-2023-11449 • Skilled Nursing Facility
HighThe new Medicare rule updates the COVID-19 testing and vaccination requirements for LTC facilities, ensuring that residents, clients, and staff have access to vaccine education and offerings. Removing
Federal Register Proposed Rule: Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities
Policy FR-2023-02993 • Skilled Nursing Facility
RoutineThe proposed rule mandates enhanced transparency regarding ownership and managerial structures within skilled nursing facilities participating in Medicare and Medicaid programs. This could lead to cha
Federal Register Proposed Rule: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027
Policy FR-2026-06674 • Skilled Nursing Facility
RoutineThe proposed updates to the Skilled Nursing Facility (SNF) Prospective Payment System will likely affect reimbursement rates and quality metrics for FY 2027. Facilities must adapt to these changes to
Federal Register Final Rule: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
Policy FR-2025-14679 • Skilled Nursing Facility
HighThe final rule for FY 2026 introduces significant updates to the Skilled Nursing Facility (SNF) payment rates and quality reporting requirements. These changes are expected to affect reimbursement str
Federal Register Proposed Rule: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
Policy FR-2025-06348 • Skilled Nursing Facility
RoutineThe proposed updates to the Skilled Nursing Facility Prospective Payment System for FY 2026 could significantly impact reimbursement rates and quality reporting requirements. SNFs will need to adapt t
Federal Register Final Rule: Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements
Policy FR-2024-16910 • Skilled Nursing Facility
HighThe FY 2025 updates to the hospice wage index and payment rates will have significant implications for reimbursement rates within the hospice sector. The adjustments in the aggregate cap amount and th
Federal Register Final Rule: 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 2025
Policy FR-2024-16907 • Skilled Nursing Facility
HighThe updates to the Skilled Nursing Facility Prospective Payment System for FY 2025 will enhance payment accuracy and reflect updated census data, directly impacting reimbursement rates. The revisions
Federal Register Final Rule: Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting
Policy FR-2024-08273 • Skilled Nursing Facility
HighThe new minimum staffing standards for long-term care facilities will likely increase operational costs for these facilities, impacting their reimbursement rates under Medicaid. As states report the p
Federal Register Proposed Rule: 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 2025
Policy FR-2024-06812 • Skilled Nursing Facility
RoutineThe proposed rule for FY 2025 under the Skilled Nursing Facility Prospective Payment System suggests significant updates that may impact reimbursement rates and coding accuracy. By revising the market
Federal Register Final Rule: Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers' and Suppliers' Disclosure of Private Equity Companies and Real Estate Investment Trusts
Policy FR-2023-25408 • Skilled Nursing Facility
HighThe new rule requires enhanced disclosure of ownership and managerial information for skilled nursing facilities (SNFs) and other nursing facilities, which may affect reimbursement processes by increa
Federal Register Proposed Rule: Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting
Policy FR-2023-18781 • Skilled Nursing Facility
RoutineThe proposed rule may influence reimbursement structures by enforcing minimum staffing standards, potentially increasing operational costs for long-term care facilities. Additionally, the requirement
Federal Register Final Rule: 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
Policy FR-2023-16249 • Skilled Nursing Facility
HighThe updates to the PDPM parity adjustment will affect reimbursement rates for Skilled Nursing Facilities (SNFs), potentially increasing or decreasing payments based on the new diagnosis code mappings.
Federal Register Proposed Rule: 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
Policy FR-2023-07137 • Skilled Nursing Facility
RoutineThe proposed rule introduces updates to Medicare payment rates for Skilled Nursing Facilities, particularly through the second phase of the Patient Driven Payment Model (PDPM) recalibration. These cha
Federal Register Proposed Rule: Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Policy FR-2023-06769 • Skilled Nursing Facility
RoutineThe FY 2024 updates to the hospice wage index and payment rates will significantly impact reimbursement rates for hospice services, potentially leading to alterations in how providers manage care effi
CMS Transmittal R3P249i: This transmittal updates Chapter 49, Skilled Nursing Facility and Skilled Nursing Facility…
Policy CMS-T-R3P249i • Skilled Nursing Facility
RoutineThis transmittal updates Chapter 49, which pertains to Skilled Nursing Facilities (SNFs). Billing teams should review any changes related to SNF services as they will affect billing practices going fo
2026 Skilled Nursing Facility PPS
Policy SKILLED-NURSING-FACILITY-PPS-2026 • Skilled Nursing Facility
High2026 Skilled Nursing Facility PPS — official CMS fee schedule. Effective January 1, 2026.