LeadingAge, along with several other associations and advocacy groups, had asked CMS for additional information to better respond to the Advance Notice of Proposed Rulemaking relating to potential revisions to the skilled nursing facility prospective payment system (SNF PPS). CMS has updated their website (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/therapyresearch.html) on the topic to include the below information. The new file includes specifications (data, definitions, and methodology) and provider specific estimated payments under the model as described. LeadingAge is reviewing this new material to incorporate into our comments.

Provider-Specific Impact Analysis

To assist stakeholders in their review of the Resident Classification System (RCS-I) model, as discussed in the SNF PPS Advance Notice of Proposed Rulemaking (https://www.regulations.gov/document?D=CMS-2017-0061-0002) and Technical Report (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/SNF_Payment_Models_Research_Technical_Report201704.pdf), CMS is providing a provider-specific impact analysis file, which details the estimated impact of the RCS-I model discussed in the ANPRM on Medicare Part A payments to each SNF in the country. They note that, as discussed in the file, the provider and resident data is for fiscal year 2014 and represent estimated payments under RCS-I, assuming no changes in provider behavior or resident case-mix.

 

Provider Specific Impact Analysis https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/Downloads/Provider_Specific_Impact_Analysis.zip