{"abstract":"This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2016. In addition, it specifies a SNF all-cause all-condition hospital readmission measure, as well as adopts that measure for a new SNF Value-Based Purchasing (VBP) Program, and includes a discussion of SNF VBP Program policies we are considering for future rulemaking to promote higher quality and more efficient health care for Medicare beneficiaries. Additionally, this final rule will implement a new quality reporting program for SNFs as specified in the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). It also amends the requirements that a long-term care (LTC) facility must meet to qualify to participate as a skilled nursing facility (SNF) in the Medicare program, or a nursing facility (NF) in the Medicaid program, by establishing requirements that implement the provision in the Affordable Care Act regarding the submission of staffing information based on payroll data.","action":"Final rule.","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/2015/08/04/2015-18950.html","cfr_references":[{"chapter":null,"citation_url":null,"part":483,"title":42}],"citation":"80 FR 46390","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: The provisions of this final rule are effective on October 1, 2015 with the exception of provisions in Sec. 483.75(u) which are effective on July 1, 2016.","disposition_notes":null,"docket_ids":["CMS-1622-F"],"dockets":[],"document_number":"2015-18950","effective_on":"2015-10-01","end_page":46477,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2015/08/04/2015-18950.xml","html_url":"https://www.federalregister.gov/documents/2015/08/04/2015-18950/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities","images":{"ER04AU15.000":{"large":"https://img.federalregister.gov/ER04AU15.000/ER04AU15.000_large.png","medium":"https://img.federalregister.gov/ER04AU15.000/ER04AU15.000_medium.png","original_size":"https://img.federalregister.gov/ER04AU15.000/ER04AU15.000_original_size.png"}},"images_metadata":{"ER04AU15.000":{"large":{"identifier":"ER04AU15.000","content_type":"image/png","size":14506,"width":577,"sha":"016f8afec1b481da59645db4bcb781b6","url":"https://img.federalregister.gov/ER04AU15.000/ER04AU15.000_large.png","height":811},"medium":{"identifier":"ER04AU15.000","content_type":"image/png","size":4783,"width":272,"sha":"e020cae82be91cfc988ba5cdf4a9a597","url":"https://img.federalregister.gov/ER04AU15.000/ER04AU15.000_medium.png","height":382},"original_size":{"identifier":"ER04AU15.000","content_type":"image/png","size":14112,"width":2053,"sha":"a8fecc10d7cd66c0cd560c0d94797e48","url":"https://img.federalregister.gov/ER04AU15.000/ER04AU15.000_original_size.png","height":2887}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2015-18950?publication_date=2015-08-04","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2015-08-04/2015-18950/mods.xml","not_received_for_publication":null,"page_length":88,"page_views":{"count":39471,"last_updated":"2026-10-23 02:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-08-04/pdf/2015-18950.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-18950.pdf?1438287321","publication_date":"2015-08-04","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2015/08/04/2015-18950.txt","regulation_id_number_info":{"0938-AS44":{"issue":"201504","html_url":"https://www.federalregister.gov/regulations/0938-AS44/fy-2016-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities-cms-1622-","title":"FY 2016 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (CMS-1622-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201504&RIN=0938-AS44&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS44"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS44/fy-2016-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities-cms-1622-","title":"FY 2016 Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (CMS-1622-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2015-0047","supporting_documents_count":0,"docket_id":"CMS-2015-0047","regulation_id_number":"0938-AS44","title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection (CMS-1622-P)","checked_regulationsdotgov_at":"2015-08-24T06:00:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":46390,"subtype":null,"title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection","toc_doc":"Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection","toc_subject":"Medicare Program:","topics":["Grant programs-health","Health facilities","Health professions","Health records","Medicaid","Medicare","Nursing homes","Nutrition","Reporting and recordkeeping requirements","Safety"],"type":"Rule","volume":80}