Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)
What is the SNF QRP?
On September 18, 2014, Congress passed the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). The IMPACT Act requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs). The IMPACT Act establishes a quality reporting program (QRP) for SNFs.
The IMPACT Act added section 1899B to the Social Security Act (Act) and requires the reporting of standardized patient assessment data with regard to quality measures and Standardized Patient Assessment Data Elements (SPADEs). The Act requires the submission of data in measure domains pertaining to quality, resource use and other domains. In addition, the IMPACT Act requires assessment data to be standardized and interoperable to allow for the exchange of data among post-acute providers and other providers. The IMPACT Act intends for standardized post-acute care data to improve Medicare beneficiary outcomes through shared-decision making, care coordination, and enhanced discharge planning.
Learn more about the IMPACT Act at:
- H.R. 4994, Amendment to Title XVIII of the Social Security Act
- IMPACT Act of 2014 Data Standardization & Cross Setting Measures webpage
What happens if quality data isn’t reported?
The IMPACT Act also amends section 1886(e)(6) of the Act, requiring that, beginning fiscal year (FY) 2018 and each subsequent rate year, if a SNF fails to submit the required quality data, the SNF will be subject to a two percentage (2%) point reduction in the Annual Payment Update.
Who can see the reported data?
The Centers for Medicare & Medicaid Services (CMS) must make quality data available to the public. However, before the data is made public, SNF providers will have the opportunity to review it.
Providers and vendors can find assistance and support from the SNF Quality Reporting Program Help webpage. The link is located in the left in the navigation panel.