Wednesday, April 24, 2019

CMS Issues FY2020 SNF Proposed Payment Rule

Natalie Visnick

On April 19, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS) for FY (Fiscal Year) 2020. The proposed rule includes a net market basket increase of 2.5 percent, which CMS estimates would increase Medicare SNF payments by approximately $887 million in FY 2020. Additionally, CMS expanded the definition of “group” therapy. Specifically, CMS notes, “we are proposing to define group therapy in the SNF Part A setting as a qualified rehabilitation therapist or therapy assistant treating two to six patients at the same time who are performing the same or similar activities.”

CMS also issued the proposed rule with no material changes in the Patient-Driven Payment Model (PDPM) payment policy section. In addition to advancing PDPM itself, the FY 2020 proposed rule, as expected, continues to advance the integration of payment policy and quality-related provisions with PDPM and quality reporting, producing new implications from the proposed rule for SNFs.

AHCA provided a full summary of all the payment updates (member login required).

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