Implementation of the SNF Patient Driven Payment Model (PDPM)

MLN Matters Number: MM11152
Related CR Release Date: February 8, 2019
Related CR Transmittal Number: R2252OTN
Related Change Request (CR) Number: 11152
Effective Date: October 1, 2019
Implementation Date: October 1, 2019

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 Feb 11, 2019