{"abstract":"This final rule responds to comments submitted by the public on our May 12, 1998 interim final rule, that implemented provisions in section 4432 of the Balanced Budget Act of 1997 regarding Medicare payment for skilled nursing facility services. This legislation established a prospective payment system, a consolidated billing provision, and a number of related changes.","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":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/1999/07/30/99-19478.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"409","title":42},{"chapter":null,"citation_url":null,"part":"411","title":42},{"chapter":null,"citation_url":null,"part":"413","title":42},{"chapter":null,"citation_url":null,"part":"489","title":42}],"citation":"64 FR 41644","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on September 28, 1999.","disposition_notes":null,"docket_ids":["HCFA-1913-F"],"dockets":[],"document_number":"99-19478","effective_on":"1999-09-28","end_page":41683,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1999/07/30/99-19478/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/99-19478?publication_date=1999-07-30","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1999-07-30/99-19478/mods.xml","not_received_for_publication":null,"page_length":40,"page_views":{"count":728,"last_updated":"2026-10-24 16:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1999-07-30/pdf/99-19478.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1999-07-30","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1999/07/30/99-19478.txt","regulation_id_number_info":{"0938-AI47":{"issue":"199904","html_url":"https://www.federalregister.gov/regulations/0938-AI47/medicare-program-prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities-","title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities. (HCFA-1913-IFC)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=199904&RIN=0938-AI47&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AI47"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-09-21T07:42:10Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":41644,"subtype":null,"title":"Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities","toc_doc":null,"toc_subject":null,"topics":[],"type":"Rule","volume":64}