4 Aug 2025
💼Medicare SNF Payment System Updates for FY 2026
Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
Summary
This final rule finalizes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year 2026. This final rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.
Agencies
- Health and Human Services Department
- Centers for Medicare & Medicaid Services
Business Impact
$$$ - High
The regulation outlines changes to the Skilled Nursing Facility (SNF) Prospective Payment System for FY 2026, impacting payment rates and reporting requirements critical for business operations. The updates directly affect the financial structure of SNFs as they modify reimbursement rates and quality program requirements, which are essential for compliance and financial planning.