Implementation of the SNF Patient Driven Payment Model (PDPM) - Retired

MLN Matters Number: MM11152 Revised
Related CR Release Date: March 13, 2019
Related CR Transmittal Number: R2270OTN
Related Change Request (CR) Number: 11152
Effective Date: October 1, 2019
Implementation Date: October 1, 2019

Note: CMS revised this article on March 14, 2019, to reflect a revised CR11152 that CMS issued on March 13. The changes to the CR did not affect the substance of the article. In the article, we revised the CR release date, transmittal number, and the web address of the CR. All other information remains the same.

CR 11152 effectuates changes to the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) that are required for the PDPM. These changes were finalized in the FY 2019 SNF PPS Final Rule (83 FR 39162). SNFs billing on Type of Bill (TOB) 21X and hospital swing bed providers billing on TOB 18X, (subject to SNF PPS) will be subject to these requirements. Make sure your billing staff is aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11152.

Last Updated Mar 15, 2019