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CMS Releases final rule on FY 2023 SNF Prospective Payment System

On Friday July 29, 2022 CMS issued the Fiscal Year (FY) 2023 Skilled Nursing Facility (SNF) Prospective Payment System final rule to update payment policies and rates. See a summary of key provisions effective October 1, 2022. In summary:
  • 2.7% net payment rate increase for skilled nursing facilities
  • Patient Driven Payment Model parity adjustment recalibration (use the FY 2023 proposed rule calculator to learn more) and changes in ICD-10 code mappings
  • Permanent 5% cap on annual wage index decreases
  • SNF Quality Reporting Program: compliance date revisions for certain requirements, new influenza vaccination coverage for health care personnel measure, and regulation text revisions
  • SNF Value Based Purchasing: not apply the SNF 30-Day All Cause Readmission Measure for the FY 2023 program year and add 3 new measures for FY 2026 & 2027 program expansion year
Staff Contact: dwatford@mehca.org