Skilled Nursing Facility

FY 2026 SNF PPS Final Rule: Key Billing Updates Effective October 2025

Source published August 4, 2025

What Changed

Action required by

October 1, 2025

Review the Action Required section below and ensure your team has completed all compliance steps before this date.

What Changed

The Skilled Nursing Facility Prospective Payment System (SNF PPS) will undergo significant updates effective October 1, 2025, as outlined in the Federal Register Final Rule (Policy ID: FR-2025-14679). These updates include adjustments to the case-mix classification system, which will influence reimbursement rates based on patient characteristics and care needs, as well as modifications to the quality reporting program that may impact facility performance metrics.

Sign in to read the full article

Create a free account to access the complete analysis, action recommendations, and related alert references.

Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.