Health and Human Services Department Proposed Rule

C1-2025-06348: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026

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What this rule does

This proposed rule updates the Medicare payment system and billing practices for skilled nursing facilities, along with revisions to the quality reporting program for the fiscal year 2026. It also includes a correction regarding a date in the document.

Plain-language description generated by AI — not the agency’s official summary, which we have not captured for this rule. Read the official text →

The rule, in full

138 words as published, May 21, 2025. View the original →

Federal Register, Volume 90 Issue 97 (Wednesday, May 21, 2025) [Federal Register Volume 90, Number 97 (Wednesday, May 21, 2025)] [Proposed Rules] [Page 21715] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: C1-2025-06348] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 413 [CMS-1827-P] RIN 0938-AV47 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026 Correction In Proposed Rule document, 2025-06348, appearing on pages 18590 through 18626, in the issue of Wednesday April 30, 2025, make the following correction: On page 18590, in the first column, in the DATES: section, the entry ``June 30, 2025'' should read ``June 10, 2025''. [FR Doc. C1-2025-06348 Filed 5-16-25; 4:15 pm] BILLING CODE 0099-10-D

What this changes

Amends 1 part of the Code of Federal Regulations — the standing rules this notice rewrites.

42 CFR 413 Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis

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