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RuleSignificant03-196772003-08-04

Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities-Update

Health and Human Services Department, Centers for Medicare & Medicaid Services

Abstract

This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year (FY) 2004. Annual updates to the PPS rates are required by section 1888(e) of the Social Security Act (the Act), as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA), and the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), relating to Medicare payments and consolidated billing for SNFs.

Action & Dates

Action
Final rule.
Dates
Effective Date: This regulation becomes effective on October 1, 2003.
Effective Date
2003-10-01

CFR References

Topics

Grant programs-healthHealth facilitiesHealth professionsHealth recordsKidney diseasesMedicaidMedicareNursing homesNutritionReporting and recordkeeping requirementsSafety

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 409, 411, 413, 440, 483, 488, and 489 [CMS-1469-F] RIN 0938-AL90 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule. SUMMARY: This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year (FY) 2004. Annual updates to the PPS rates are required by section 1888(e) of the Social Security Act (the Act), as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA), and the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), relating to Medicare payments and consolidated billing for SNFs. DATES: Effective Date: This regulation becomes effective on October 1, 2003. FOR FURTHER INFORMATION CONTACT: John Davis, (410) 786-0008 (for information related to the Wage Index, and for information related to swing-bed providers). Ellen Gay, (410) 786-4528 (for information related to the case-mix classification methodology, and for information related to swing-bed providers). Sheila Lambowitz, (410) 786-7605 (for information related to the SNF Market Basket Index and forecast error). Bill Ullman, (410) 786-5667 (for information related to level of care determinations, consolidated billing, and general information). SUPPLEMENTARY INFORMATION: Copies: To order copies of the Federal Register containing this document, send

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Full Document

Citation: 68 FR 46036