Implementation of the SNF PDPM - Updates to CR 11152

MLN Matters Number: MM11513 Revised
Related CR Release Date: January 9, 2020
Related CR Transmittal Number: R4491CP
Related Change Request (CR) Number: 11513
Effective Date: April 1, 2020
Implementation Date: April 6, 2020

Note: CMS revise this article on January 10, 2020, to reflect an updated CR that changed the CR type from a One Time Notification to a Standard CR type, which adds a manual attachment that updates Chapter 6 of CMS publication 100-04. This correction also revises the CR background section and adds two new requirements (11513.4 and 11513.5), which are included in this article at the end of the Background Section. All other information remains the same.

CR 11513 contains updates to handle Veterans Administration (VA) demonstration claims under the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM). Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11513.

            Last Updated Mon, 13 Jan 2020 09:16:54 +0000