SNF ALERT - CMS Final Rule

Updated: Oct 9, 2019

On Tuesday CMS issued the FY 2020 SNF Final Rule which will take effect on October 1, 2019 and includes a series of rate, regulatory, definition, and reporting updates that we have summarized for you. An updated payment rate was finalized under the SNF PPS for 2020. It also includes revisions that reflect the revised assessment schedule under PDPM as well as updated requirements for the SNF Value Based Purchasing Program and the SNF Quality Reporting Program (QRP). Here are the latest updates that are most likely to impact your organization:


PDPM Updates

  • An increase in payment to SNF’s $851 million or 2.4% for FY 2020, compared to FY 2019.

  • FY 2020 Urban and Rural rates have been finalized for each PDPM component.


  • Case Mix Components were finalized for each PDPM Category.

  • CMS is changing the definition of Group Therapy for SNF providers to be 2-6 residents in order to align consistency in payment policies across PAC settings. 75% will be individual therapy, and 25% will be combined group and concurrent therapy.

  • CMS approved sub-regulatory process for ICD-10 code revisions.