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Program News and Announcements

General SNF PPS Announcements/News 

CMS-1634-P: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities Proposed Rule for FY 2017, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and SNF Payment Models Research was published on April 25, 2016.  The wage index file is available on the Wage Index web page.

The Skilled Nursing Facility Payment Models Nursing Component Technical Expert Panel Presentation and Skilled Nursing Facility Payment Models Nursing Component Technical Expert Panel Summary are available on the SNF PPS Payment Model Research webpage. 

CMS-1622-CN:   Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection; Correction published on Monday, October 5, 2015 at the Office of Federal Register.  The associated wage index tables are available on the Wage Index web page.

The wage index file associated with the FY 2016 SNF PPS final rule (CMS-1622-F) has been re-posted to eliminate a redundant listing at the end of the file for some CBSAs which inadvertently included proposed wage index values.

CMS-1622-F: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection published on August 4, 2015 at the Office of Federal Register.  The associated wage index tables are available on the Wage Index web page.

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection published on April 20, 2015.  The associated wage index file is available on the Wage Index web page.

Jimmo v. Sebelius Settlement Agreement – Program Manual Clarifications (Fact Sheet).  As explained in the previously-issued Jimmo v. Sebelius Settlement Agreement Fact Sheet (see Downloads section below), the Centers for Medicare & Medicaid Services (CMS) is issuing revised portions of the relevant program manuals used by Medicare contractors.  For additional information, please see the Jimmo v. Sebelius Settlement Agreement – Program Manual Clarifications (Fact Sheet) in the Downloads section below.  The Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to Jimmo vs. Sebelius can be found in CR 8458 and in associated MLN Matters Article, MM8458.

Jimmo v. Sebelius Settlement Agreement (Fact Sheet) - On January 24, 2013, the U. S. District Court for the District of Vermont approved a settlement agreement in the case of Jimmo v. Sebelius.  For additional information, please see the Jimmo v. Sebelius Settlement Agreement (Fact Sheet) in the Downloads section below.