Federal Register #CMS-1843-P

Proposed Rule: Updates to Medicare Payment System for Skilled Nursing Facilities (FY 2027)

This opportunity involves a proposed rule from the Centers for Medicare & Medicaid Services (CMS) to update the Medicare payment system for skilled nursing facilities (SNFs) for federal fiscal year 2027. - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - Scope of Proposed Rule: - Updates to the SNF Prospective Payment System (PPS) - Changes to payment rates, policies, and methodologies for SNFs - Adjustments to the wage index and case-mix methodology - Updates to the SNF Quality Reporting Program and Value-Based Purchasing Program - Modifications to consolidated billing requirements - Public Participation: - CMS is requesting public comments on proposed changes, including methodologies for addressing case-mix creep and other technical aspects - Procurement Details: - No specific products, services, OEMs, or vendors are being procured - This is a regulatory action impacting all SNFs nationwide, not a direct purchase or contract opportunity

Description

This proposed rule by the Department of Health and Human Services and the Centers for Medicare & Medicaid Services outlines updates to the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year 2027. It includes changes to payment rates, policies, and updates to the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. The rule also discusses the wage index, case-mix adjustment, consolidated billing provisions, and requests public comments on various aspects of the payment system. Comments are due by June 1, 2026.

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