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FY 2020 Inpatient Skilled Nursing (SNF) Proposed Rule Update

Posted by Stacie Snider on Apr 26, 2019 11:25:38 AM

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2020 inpatient SNF ruleThe FY 2020 Inpatient Skilled Nursing Facility Proposed Rule was put on display for public inspection on April 19, 2019. The proposed rule is scheduled to be published in the Federal Register April 25, 2019, however, the pre-publication can be viewed here. If finalized, this SNF rule will affect discharges on or after October 1, 2019.


Each year, CMS publishes updates to the regulations for inflation factors, wage adjustments, etc. For FY 2020, CMS has proposed the following updates to the SNF rates:

2020 SNF payment ratesOther notable items from our initial review of the Inpatient SNF proposed rule include:

  1. CMS is proposing to use the FY 2019 final rule new case-mix classification model, PDPM, that will take effect beginning October 1, 2019.

  2. The PDPM model will require a change from the RUG-IV classifications. CMS is proposing to move away from patients being classified mostly as therapy patients.

  3. CMS proposes to update the PDPM multipliers by the following:  

2020 SNF PDPM multipler rates

Public Comments for the SNF proposed rule can be submitted through 5 pm EST on June 18, 2019.  CMS has also released the 2020 IPPS, Rehab, Psych and Hospice proposed rules.  Be sure to review the posts for highlights and be sure not to miss future posts about these rules by to subscribing to our blog below:

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Topics: Industry Updates, regulations, proposed rule, provider reimbursement, inpatient SNF

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The climate of provider reimbursement is ever-changing and this blog is intended to keep you up-to-date on the latest information regarding:

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