Today, the Centers for Medicare & Medicaid Services (CMS) issued the
proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2025.
Highlights include:
- The proposed rule would increase SNF PPS rates by 4.1%, or approximately $1.3 billion, beginning October 1, 2024. This is based on the proposed SNF market basket increase of 2.8%, plus a 1.7% market basket forecast error adjustment, and a negative 0.4% productivity adjustment.
- The above impact figures do not incorporate the SNF Value-Based Purchasing (VBP) reductions for certain SNFs subject to the net reduction in payments under the SNF VBP; those adjustments are estimated to total $196.5 million in FY 2025. CMS is proposing several operational and administrative proposals for the SNF VBP program.
- The proposed rule includes updated guidelines surrounding enforcement authority, related to Civil Monetary Penalties (CMP). Under the proposed rule, State Survey Agencies, along with CMS would have the authority to issue Per Diem and Per Instance CMPs on the same survey, and the authority to issue multiple Per Instance CMPs for the same type of noncompliance.
- CMS also proposes updates to the SNF Quality Reporting Program (QRP) and to update the SNF PPS wage index.
AHCA has reviewed the proposed rule and developed a
summary outlining key provisions and impacts on members.
Please note, this is for members only and requires an AHCA/NCAL log-in to view.
AHCA will host a
webinar on
Friday, April 5 at 10:00 a.m. ET. on what you need to know about CMS’ proposal. This webinar is free for all AHCA members.
For those unable to attend, the webinar will be recorded and available on-demand soon after. A certificate of attendance will be available after the webinar (no CEs).
Thank you for your continued support. Please contact
Martin Allen with any questions.