CMS released a MLN
Matters Article last week regarding FY 2018 and after payments for SNFs that
do not submit required quality data. Beginning with FY 2018, and each
subsequent year, if a SNF does not submit required quality data, their payment
rates for the year are reduced by two percentage points for that fiscal year.
Application of the two percentage reduction may result in an update that is less
than 0.0 for a fiscal year and in payment rates for a fiscal year being less
than such payment rates for the preceding fiscal year. In addition,
reporting-based reductions to the market basket increase factor will not be
cumulative; they will only apply for the FY involved.
The initial SNF Quality Reporting Program (QRP) requirement
period was quarter 4, 2016, which affects FY 2018 annual payment update. The next SNF QRP requirement period is quarter 1, 2017, through quarter 4, 2017, and will affect FY 2019 annual payment updates.
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