FY 2026 SNF PPS Proposed Rule Issued

On April 11, 2025, the Centers for Medicare & Medicaid Services released the FY 2026 SNF PPS proposed rule. The associated Fact Sheet addresses some of the key areas proposed, including:

  • Proposed updates to SNF payment rates (2.8%)
  • Proposed changes to PDPM ICD-10 Code mappings (for consistency with current coding guidance)
  • Proposed changes to the SNF VBP Program (including revisions to the scoring methodology, potential adoption of a reconsideration process and more)
  • Proposed changes to the SNF QRP (including removing four assessment data elements)

The proposed rule can be viewed in the Federal Register.


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