2023-07137: Medicare Program; 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
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This proposed rule would update payment rates, including implementing the second phase of the Patient Driven Payment Model (PDPM) parity adjustment recalibration. This proposed rule also proposes updates to the diagnosis code mappings used under PDPM, the SNF Quality Reporting Program (QRP), and the SNF Value-Based Purchasing (VBP) Program. We are also proposing to eliminate the requirement for facilities to actively waive their right to a hearing in writing, instead treating the failure to submit a timely request for a hearing as a constructive waiver.
The agency’s own summary, as published.
What this changes
Amends 4 parts of the Code of Federal Regulations — the standing rules this notice rewrites.
- 42 CFR 411 Exclusions from Medicare and Limitations on Medicare Payment
- 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
- 42 CFR 488 Survey, Certification, and Enforcement Procedures
- 42 CFR 489 Provider Agreements and Supplier Approval
Rulemaking docket
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