Medicare Program; Updates to SNF PPS for FY 2027
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This proposed rule outlines changes to the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) payment rates for fiscal year 2027. It includes updates to both the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program, which require changes such as removing certain COVID-19 vaccination measures and revising data submission deadlines. The proposal is expected to result in significant fiscal impacts, with an estimated increase in payments to SNFs for FY 2027 but reductions in subsequent years due to program changes.
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Key Changes
- Update to the SNF PPS payment rates for fiscal year 2027
- Removal of two COVID-19 vaccination measures from the SNF Quality Reporting Program
- Revisions to data submission deadlines for the SNF Quality Reporting Program
Obligations
What this law requires
Submit comments on proposed rule CMS-1843-P by June 1, 2026 through regulations.gov, mail to CMS Baltimore address, or express mail to specified CMS address
Remove COVID-19 Vaccination Coverage Among Healthcare Personnel Measure from SNF Quality Reporting Program beginning with FY 2028
Remove COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date Measure from SNF Quality Reporting Program beginning with FY 2028
Revise SNF Quality Reporting Program data submission deadlines from 4.5 months after end of quarter to the 15th day of the second month after end of quarter beginning with FY 2029
Submit Minimum Data Set (MDS) data on all SNF residents admitted for covered skilled care regardless of payer beginning with FY 2031 SNF QRP