Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Spotlights and Announcements

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Updates

June 07, 2023

UPDATED: Final MDS 3.0 Item Sets version 1.18.11

The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual webpage. The NP, NPE, and SD Item Sets have been replaced with revised versions; the remaining item sets remain unchanged from the last posted version. The MDS Item Sets v1.18.11 will be effective beginning October 01, 2023.

The item set edits are noted below and on the revised MDS 3.0 Item Set Change History v1.18.11v2.pdf. These edits are also reflected in the Final MDS Data Submission Specifications V3.01.0 posted on the Minimum Data Set (MDS) 3.0 Technical Information webpage.

NPE item set

B1300: Completion language removed

D0100: Part of the completion language was removed

D0700: Completion language removed

ND item set

D0700: Completion language added

SD item set

X1100E: added to item set

May 15, 2023

REGISTRATION OPEN: The SNF MDS 3.0 RAI v1.18.11 Guidance Training Program

The Centers for Medicare & Medicaid Services (CMS) is offering a virtual training program that provides instruction on the updated guidance for the Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) v1.18.11 Manual and Item Set. This training consists of a series of recorded presentations intended to be reviewed prior to a live virtual event. Registration is only required for the live virtual training event.

For more information and to register for the event, please visit the SNF Quality Reporting Program (QRP) Training page.

May 4, 2023

Reminder of Upcoming Data Submission Deadline

The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. Minimum Data Set (MDS) assessment data and data submitted to the Centers for Medicare & Medicaid Services (CMS) via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for October 1 – December 31 (Q4) of calendar year (CY) 2022 are due with this submission deadline. The annual NHSN measure Influenza Vaccination among Healthcare Personnel is also due with this deadline.

All data must be submitted no later than 11:59 p.m. on May 15, 2023.

It is recommended that applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.

View the list of measures required for the May 15, 2023 deadline on the SNF Quality Reporting Program Data Submission Deadlines web page.

For submission information, visit:

Swingtech sends informational messages to SNFs that are not meeting Annual Payment Update (APU) threshold on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.

April 26, 2023

Care Compare April Refresh of SNF QRP Data – Now Available

The April 2023 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

For more information, please visit the SNF QRP Public Reporting website.

April 24, 2023

NOW AVAILABLE: Optional State Assessment (OSA) Item Set and OSA Manual

The Optional State Assessment (OSA) Item Set, OSA Manual, and OSA Change History table are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The OSA is not a Federally required assessment; rather, it may be required in some States for payment purposes. Each State determines whether the OSA is required and if so, when the assessment must be completed. For questions regarding completion of the OSA, please contact your State Survey Agency.

April 14, 2023

SNF Provider Preview Reports – Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the July 2023 refresh.

For more information, please visit the CMS SNF QRP Public Reporting website.

April 4, 2023

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 (CMS-1779-P)

 On April 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1779-P) that provides updates to and proposals for the fiscal year (FY) 2024 Skilled Nursing Facility Quality Reporting Program (SNF QRP). This rule includes three new measure proposals, one measure modification proposal, and three measure removal proposals.  The new measure proposals include the Discharge Function Score measure; the CoreQ: Short Stay Discharge Measure; and the COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date measure. CMS is also proposing to modify the COVID-19 Vaccination Coverage among Healthcare Personnel measure to report the number of HCP who are up to date with recommended COVID-19 vaccinations per the latest CDC guidance. In addition, CMS is proposing the removal of three measures including the Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function; the Application of the IRF Functional Outcome Measures: Change in Self-Care Score for Medical Rehabilitation Patients measure; and the Application of the IRF Functional Outcome Measures: Change in Mobility Score for Medical Rehabilitation Patients measure.  We are also proposing changes to the data completion thresholds for the Minimum Data Set data items and to begin the public reporting of the Transfer of Health Information to the Patient-Post-Acute Care and Transfer of Health Information to the Provider-PAC measures. Finally, we are seeking information on principles for selecting and prioritizing SNF QRP quality measures and concepts and providing an update on CMS continued efforts to close the health equity gap.

The proposed rule went on display at the Federal Register and will be available at: https://www.federalregister.gov/public-inspection

April 3, 2023

NOW AVAILABLE: Final MDS 3.0 Item Sets version 1.18.11

The final Minimum Data Set (MDS) 3.0 Item Sets version v1.18.11 are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS Item Sets v1.18.11 will be effective beginning October 01, 2023.

April 3, 2023

NOW AVAILABLE: Draft MDS 3.0 RAI User’s Manual version 1.18.11

The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.18.11 will be effective beginning October 01, 2023.

This version of the MDS 3.0 RAI Manual contains substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across post-acute care (PAC) settings. Standardized data will enable cross-setting data collection, outcome comparison, exchangeability of data, and comparison of quality within and across PAC settings. Additionally, the language of the manual has been updated throughout to be gender neutral. Guidance and examples in numerous chapters and appendices have been revised for clarification and to reflect current regulations and best practices. Due to the scope of the revisions, CMS will not issue Replacement Pages for v1.18.11; those wishing to continue using a physical copy of the manual are encouraged to print the new version.

March 20, 2023

UPDATED RESOURCE AVAILABLE: Video Tutorial: GG0170C. Lying to Sitting on Side of Bed

This resource can be accessed through the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Training page.

February 14, 2023

MDS Data Specifications V3.01.0 (DRAFT) Posted

The MDS Data Specifications V3.01.0 (DRAFT) are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Technical Information page.  CMS plans to release the final version of the Data Specification in May 2023. These specifications will go into effect on October 1, 2023.

February 10, 2023

Reminder of Upcoming Data Submission Deadline

The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. Minimum Data Set (MDS) assessment data and data submitted to the Centers for Medicare & Medicaid Services (CMS) via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for July 1 – September 30 (Q3) of CY 2022 is due with this submission deadline.

All data must be submitted no later than 11:59 p.m. on February 15, 2023.

It is recommended that applicable CMS Certification and Survey Provider Enhanced Reports (CASPER) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. We encourage you to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.

View the list of measures required for the February 15, 2023 deadline on the SNF Quality Reporting Program Data Submission Deadlines web page.

For submission information, visit:

Swingtech sends informational messages to SNFs that are not meeting Annual Payment Update (APU) threshold on a quarterly basis ahead of each submission deadline. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CCN along with any requested email updates.

January 25, 2023

Care Compare January Refresh of SNF QRP Data – Now Available

The January 2023 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

For more information, please visit the SNF QRP Public Reporting website.

January 17, 2023

SNF Provider Preview Reports – Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the April 2023 refresh.

For more information, please visit the CMS SNF QRP Public Reporting website.

January 11, 2023

NEW RESOURCE AVAILABLE: Third Edition Skilled Nursing Facility QRP COVID-19 Public Reporting Tip Sheet

This resource can be accessed through the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Training page.

December 23, 2022

NOW AVAILABLE: Draft MDS 3.0 Item Sets v1.18.11

The draft Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. CMS plans to release the final version of the MDS Item Sets in early 2023.  The MDS Item Sets v1.18.11 will be effective beginning October 1, 2023.

October 26, 2022

Care Compare October Release of SNF QRP Data – Now Available

The October 2022 release of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC).

For more information, please visit the SNF QRP Public Reporting website.

October 14, 2022

SNF Provider Preview Reports – Now Available

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the January 2023 refresh.

For more information, please visit the CMS SNF QRP Public Reporting website.

September 21, 2022

SNF QRP FAQs for FY 2023

An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in Fiscal Year (FY) 2023 and includes other useful resources available to providers.

The FAQ document can be accessed via the Downloads section of the SNF Quality Reporting FAQs web page.

September 21, 2022

SNF QRP APU Table for Reporting Assessment-Based QM and Standardized Patient Assessment Data Elements and Data Collection and Final Submission Deadlines Affecting FY 2025 posted

An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Annual Payment Update (APU) Table for Reporting Assessment-Based quality measures (QMs) and standardized patient assessment data elements to the Centers for Medicare & Medicaid Services (CMS) is now available. This document has been updated to reflect the data elements that will be required to meet the APU minimum data completion threshold for Fiscal Year (FY) 2025. Additionally, an update to the SNF QRP Data Collection and Final Submission Deadlines for the FY 2025 SNF QRP is available. This document has been updated to reflect the data collection and final submission deadlines required to meet the APU minimum data completion threshold for FY 2025.

The SNF QRP APU Table can be accessed via the Downloads section of the SNF QRP Measures and Technical Information web page. The SNF QRP Data Collection and Final Submission Deadlines can be accessed via the Downloads section of the SNF QRP Data Submission Deadlines web page.

September 21, 2022

An update to the SNF QRP Data Collection and Final Submission Deadlines Affecting FY 2024 posted

An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Data Collection and Final Submission Deadlines is now available. This document has been updated to reflect the data collection and final submission deadlines required to meet the Annual Payment Update (APU) minimum data completion threshold for Fiscal Year (FY) 2024.

The SNF QRP Data Collection and Final Submission Deadlines can be accessed via the Downloads section of the SNF QRP Data Submission Deadlines web page.

September 2, 2022

SNF QRP Quality Measure Calculations and Reporting User’s Manual V4.0, Change Table, Risk Adjustment Appendix File, and HCC ICD-10 Crosswalks – Now Available

The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Quality Measure Calculations and Reporting User’s Manual Version 4.0 and accompanying documents are now available. These documents serve as an update to the specifications used to calculate quality measures that are included in the SNF QRP effective October 1, 2022.

For more information, please visit the CMS SNF QRP Measures and Technical Information website.

September 1, 2022

NOW AVAILABLE Draft MDS NC Item Set

The draft Minimum Data Set (MDS) Nursing Home Comprehensive (NC) Item set version 1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The Centers for Medicare & Medicaid Services (CMS) plans to release the final version of the MDS Item Sets later in 2022, which will be effective beginning October 1, 2023.

SNF Quality Reporting Program Archives

Page Last Modified:
06/07/2023 08:11 AM