SNF PDPM Implementation

Effective October 1, 2019, a new case-mix classification model will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. CMS offers a variety of educational and training resources to assist stakeholders in preparing for Patient Driven Payment Model (PDPM) implementation. 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.

Visit the CMS Patient Driven Payment Model webpage for educational and training resources.

  • PDPM Fact Sheets (Including, but not limited to, Interrupted Stay Policy, MDS Changes, Concurrent and Group Therapy Limit, PDPM Patient Classification)
  • Frequently Asked Questions (FAQs)
  • Training Presentation
  • PDPM Resources


            Last Updated Mon, 19 Oct 2020 18:21:41 +0000