2014/15 SNF PPS Rates Posted

Carl J. Pucci in Finance & Reimbursement

As announced in NYSHFA member mailing of August 7, 2014, CMS has issued the 2015 SNF PPS Final Rule.  The regional PPS rates have been calculated and are posted on the NYSHFA website.  The rates are found in the “What’s New” section of the home page, as well as archived in the “Reimbursement/Medicare” section under the “Facilities Resources” header (link attached).

It is important to note the following with respect to the 2014/15 rates, which become effective 10/1/14:

  • Although a net market basket increase of 2% was announced nationally, each region’s rate movement from last year will vary from the 2% net market basket average increase depending on the wage index adjustment to the labor portion of their rate (see page 6 of the AHCA Bulletin in the above referenced 8/7/14 member mailing).  The NYS specific county effect of the transition wage index adjustment is attached showing (A) the 2013/14 wage index, (B) the 2014/15 wage index, and (C) the transition wage index for 2014/15, the result of a one year transition period utilizing a 50%/50% blend.
  • Three NYS counties (Orange, Dutchess and Putnam) have been assigned different Core-Based Statistical Areas (CBSA’s) and as a result have an entirely different wage index than in previous years.  (Separate rate calculations are now provided for all three counties.)


As a result of the wage index transition effect, we have calculated a regional comparison to previous years’ rates noting the rate differences which range from -3% (Putnam) to 6.1% (Orange).

NYSHFA has also posted the CMS 2015 Final Rule on its website for further details related to the SNF PPS rates.

NYSHFA CONTACT:

Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36