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Last Modified: 11/27/2017 Location: FL, PR, USVI Business: Part A

Off-cycle update to the 2018 SNF prospective payment system

Effective date: October 1, 2017
Implementation date: January 2, 2018


Change request 10377 adds logic into the skilled nursing facility (SNF) prospective payment system (PPS) pricer to apply the quality reporting program (QRP) payment reduction for fiscal year (FY) 2018.
Beginning with FY 2018 and in each subsequent year, if an SNF does not submit required quality data, its payment rates for the year are reduced by two percentage points for that FY.
Here is the link to the MLN MattersŪ article MM10377 external pdf file.
Source: MM10377
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