{"abstract":"This rule proposes changes and updates to the policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year 2027. This proposed rule also updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.","action":"Proposed 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/2026/04/07/2026-06674.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"413","title":42}],"citation":"91 FR 17678","comment_url":null,"comments_close_on":"2026-06-01","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, by June 1, 2026.","disposition_notes":null,"docket_ids":["CMS-1843-P"],"dockets":[],"document_number":"2026-06674","effective_on":null,"end_page":17717,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2026/04/07/2026-06674.xml","html_url":"https://www.federalregister.gov/documents/2026/04/07/2026-06674/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2026-06674?publication_date=2026-04-07","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2026-04-07/2026-06674/mods.xml","not_received_for_publication":null,"page_length":40,"page_views":{"count":1,"last_updated":"2026-04-07 06:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-07/pdf/2026-06674.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06674.pdf?1775164507","publication_date":"2026-04-07","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2026/04/07/2026-06674.txt","regulation_id_number_info":{"0938-AV75":null},"regulation_id_numbers":["0938-AV75"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2026-04-07T08:08:58Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":17678,"subtype":null,"title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027","toc_doc":"Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027","toc_subject":"Medicare Program","topics":["Diseases","Health facilities","Medicare","Puerto Rico","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":91}