Payment Policy Information

2020-02 Skilled Nursing Facility Prospective Payment System (PDFs)

Learn about payment rates, the Quality Reporting Program, and the Value-Based Purchasing Program.

Beneficiary Notices Initiative - FFS SNF ABN

Get information about and instructions for the Fee-for-Service (FFS) Skilled Nursing Facility (SNF) Advanced Beneficiary Notice (ABN).

Skilled Nursing Facility 3-Day Rule Billing

Read a fact sheet about Skilled Nursing Facility (SNF) 3-Day Rule Billing coverage, claims processing edits, and financial responsibility.

Skilled Nursing Facility Center

Find a one-stop resource for Medicare Fee-for-Service (FFS) skilled nursing facilities (SNFs), including Medicare coverage information, educational resources, and billing and payment information.

Skilled Nursing Facility PPS

Learn about the Prospective Payment System (PPS) and consolidated billing for skilled nursing facilities.

SNF Consolidated Billing

Get an explanation about the Balanced Budget Act of 1997 mandate that the majority of services given to beneficiaries in a Medicare covered SNF stay be paid through bundled prospective payments.

The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program

Get information and resources about the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program, which, based on the quality of care they provide to Medicare beneficiaries, rewards SNFs with incentive payments.