Consistent with the legal requirements to update Medicare payment policies for skilled nursing facilities annually, the Centers for Medicare & Medicaid Services (CMS) on April 2, 2026, issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for fiscal year (FY) 2027. Here, we track policy developments and news related to the rule as it progresses to finalization.
July 31, 2026
Final Rule Overview: CMS Finalizes 2.4% Payment Update for SNFs for FY 2027
In addition to a modest payment boost, the Centers for Medicare and Medicaid Services’ Fiscal Year 2027 Skilled Nursing Facility Payment rule includes quality reporting and value-based purchasing program updates and signals potential future policy changes through several requests for stakeholder feedback. Details here.
July 29, 2026
LeadingAge Statement: CMS’ FY27 Skilled Nursing Facility Prospective Payment System Final Rule
Read the statement from Jodi Eyigor, vice president, Health Policy, LeadingAge, the association of nonprofit and mission-driven providers of aging services, including nursing homes, on the Centers for Medicare and Medicaid Services’ (CMS) Fiscal Year (FY) 2027 Skilled Nursing Facility Prospective Payment System Final Rule (CMS 1843-F), released July 29, 2026.
June 01, 2026
LeadingAge Submits Comments on FY 2027 SNF PPS Proposed Rule
In comments submitted June 1, 2026, to the Centers for Medicare and Medicaid Services (CMS) on the Fiscal Year (FY) 2027 Skilled Nursing Facilities (SNF) Prospective Payment System (PPS) proposed rule, LeadingAge expressed support for updates to the SNF Quality Reporting Program including removal of two COVID-19 vaccination measures from the program, the revision of data submission timelines, and expansion of the data pool to include all SNF patients regardless of payer source, and more. Read it all here.
May 05, 2026
Tips for Commenting on the FY 2027 SNF PPS Proposed Rule
LeadingAge will be submitting comments on the Fiscal Year 2027 (FY 27) Skilled Nursing Facilities (SNF) Prospective Payment System (PPS) proposed rule, and we encourage members to do so as well by the June 1, 2026 deadline. Here are tips and links to help members with their comments.
May 04, 2026
Analysis: FY 2027 SNF PPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year 2027 (FY 27) Skilled Nursing Facilities (SNF) Prospective Payment System (PPS) proposed rule on April 2, 2026. Comments on the rule must be submitted by June 1 for consideration. Our summary of key issues is here.
The Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year 2027 (FY 27) Skilled Nursing Facility (SNF) Prospective Payment System (PPS) proposed rule late on April 2, 2026. The rule proposes a 2.4% payment update for SNFs in FY 27 based on a 3.2% market basket update, less a 0.8% productivity adjustment. Additionally, in a win for LeadingAge, CMS proposes to remove two measures from the SNF Quality Reporting Program (QRP): COVID-19 Vaccination Coverage Among Healthcare Personnel and COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date. LeadingAge has consistently advocated for removal of these measures since their introduction. Details here.
TEP Report Hints At Home Health Value Based Purchasing Potential Changes