CMS Releases FY 2016 SNF PPS Final Rule

Carl J. Pucci in Finance & Reimbursement

Late last week, CMS released the FY 2016 SNF PPS Final Rule.  CMS projects that aggregate SNF payments will increase approximately $430 million, or 1.2% over last year’s payments.  The AHCA initial notice and a more detailed summary of the 2016 Final Rule is attached.  As prefaced in the AHCA summary, CMS is working to correct errors in the SNF wage index file.  As soon as these corrections are made, NYSHFA will calculate the 2016 SNF PPS rates (which will be effective 10/1/15).

Members should also carefully review the Value-Based Purchasing (VBP) criteria, the Quality Reporting Program (QRP) requirements and staffing data submission requirements (contained in the AHCA summary document), which are under development by CMS for future enactment.

NYSHFA CONTACT:

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