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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027

Tuesday, April 7, 2026

Plain English Summary

The Medicare program is proposing changes to payment rates and policies for Skilled Nursing Facilities (SNFs) for the fiscal year 2027. This includes updates to the Quality Reporting Program and the Value-Based Purchasing Program for SNFs. Insurance agents should stay informed about these changes as they may impact how services are billed and reported in the coming year.
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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.