{"abstract":"This notice updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year (FY) 2003, as required by statute. 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 (the BBRA), and the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (the BIPA), relating to Medicare payments and consolidated billing for SNFs.","action":"Notice.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2002/07/31/02-19373.html","cfr_references":[],"citation":"67 FR 49798","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This notice is effective on October 1, 2002.","disposition_notes":null,"docket_ids":["CMS-1202-N"],"dockets":[],"document_number":"02-19373","effective_on":"2002-10-01","end_page":49819,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2002/07/31/02-19373.xml","html_url":"https://www.federalregister.gov/documents/2002/07/31/02-19373/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing","images":{"EN31JY02.001":{"large":"https://img.federalregister.gov/EN31JY02.001/EN31JY02.001_large.png","medium":"https://img.federalregister.gov/EN31JY02.001/EN31JY02.001_medium.png","original_size":"https://img.federalregister.gov/EN31JY02.001/EN31JY02.001_original_size.png"},"EN31JY02.004":{"large":"https://img.federalregister.gov/EN31JY02.004/EN31JY02.004_large.png","medium":"https://img.federalregister.gov/EN31JY02.004/EN31JY02.004_medium.png","original_size":"https://img.federalregister.gov/EN31JY02.004/EN31JY02.004_original_size.png"},"EN31JY02.003":{"large":"https://img.federalregister.gov/EN31JY02.003/EN31JY02.003_large.png","medium":"https://img.federalregister.gov/EN31JY02.003/EN31JY02.003_medium.png","original_size":"https://img.federalregister.gov/EN31JY02.003/EN31JY02.003_original_size.png"},"EN31JY02.002":{"large":"https://img.federalregister.gov/EN31JY02.002/EN31JY02.002_large.png","medium":"https://img.federalregister.gov/EN31JY02.002/EN31JY02.002_medium.png","original_size":"https://img.federalregister.gov/EN31JY02.002/EN31JY02.002_original_size.png"}},"images_metadata":{"EN31JY02.001":{"large":{"identifier":"EN31JY02.001","content_type":"image/png","size":166846,"width":822,"sha":"7cdafbd8a6fc2104f03cd6bcf4a3dfa0","url":"https://img.federalregister.gov/EN31JY02.001/EN31JY02.001_large.png","height":1365},"medium":{"identifier":"EN31JY02.001","content_type":"image/png","size":83274,"width":516,"sha":"b9097525087408d3df74fd0add472ebc","url":"https://img.federalregister.gov/EN31JY02.001/EN31JY02.001_medium.png","height":857},"original_size":{"identifier":"EN31JY02.001","content_type":"image/png","size":1039541,"width":3897,"sha":"828add51e63438083cf4039acfcb4b75","url":"https://img.federalregister.gov/EN31JY02.001/EN31JY02.001_original_size.png","height":6468}},"EN31JY02.004":{"large":{"identifier":"EN31JY02.004","content_type":"image/png","size":116504,"width":663,"sha":"4e9c45b452c74ae4157facde773a6439","url":"https://img.federalregister.gov/EN31JY02.004/EN31JY02.004_large.png","height":1593},"medium":{"identifier":"EN31JY02.004","content_type":"image/png","size":36351,"width":312,"sha":"19931f91f15cb1667f6dc360ff7c6bf4","url":"https://img.federalregister.gov/EN31JY02.004/EN31JY02.004_medium.png","height":749},"original_size":{"identifier":"EN31JY02.004","content_type":"image/png","size":267176,"width":2356,"sha":"912f7921ceb4cc8a7bf5502a0cba555f","url":"https://img.federalregister.gov/EN31JY02.004/EN31JY02.004_original_size.png","height":5661}},"EN31JY02.003":{"large":{"identifier":"EN31JY02.003","content_type":"image/png","size":111885,"width":673,"sha":"59aebc678b121bdbcc7322d1f5e1224d","url":"https://img.federalregister.gov/EN31JY02.003/EN31JY02.003_large.png","height":1627},"medium":{"identifier":"EN31JY02.003","content_type":"image/png","size":37615,"width":317,"sha":"f5110ba9c30f4bb5a5b97cf7013531fe","url":"https://img.federalregister.gov/EN31JY02.003/EN31JY02.003_medium.png","height":767},"original_size":{"identifier":"EN31JY02.003","content_type":"image/png","size":282579,"width":2392,"sha":"7c575846de92eedec40d40d1501077f9","url":"https://img.federalregister.gov/EN31JY02.003/EN31JY02.003_original_size.png","height":5784}},"EN31JY02.002":{"large":{"identifier":"EN31JY02.002","content_type":"image/png","size":174359,"width":823,"sha":"7477f95a14fe014fdfa0e98f2a76a6e9","url":"https://img.federalregister.gov/EN31JY02.002/EN31JY02.002_large.png","height":1368},"medium":{"identifier":"EN31JY02.002","content_type":"image/png","size":79934,"width":515,"sha":"3bb28d0836be52926e207b60adf99058","url":"https://img.federalregister.gov/EN31JY02.002/EN31JY02.002_medium.png","height":856},"original_size":{"identifier":"EN31JY02.002","content_type":"image/png","size":857961,"width":3894,"sha":"067e81df2d1606d12ba89f7928e188a8","url":"https://img.federalregister.gov/EN31JY02.002/EN31JY02.002_original_size.png","height":6474}}},"json_url":"https://www.federalregister.gov/api/v1/documents/02-19373?publication_date=2002-07-31","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2002-07-31/02-19373/mods.xml","not_received_for_publication":null,"page_length":22,"page_views":{"count":466,"last_updated":"2026-04-25 10:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2002-07-31/pdf/02-19373.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2002-07-31","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2002/07/31/02-19373.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":49798,"subtype":null,"title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities-Update; Notice","toc_doc":"Skilled nursing facilities; prospective payment system and consolidated billing","toc_subject":"Medicare and medicaid:","topics":[],"type":"Notice","volume":67}