The Fiscal Year (FY) 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Proposed Rule (CMS 1779-P) was released on April 4. The rule proposes:

• 3.7% Medicare payment update for FY 2024, reflective of the second-year phase-in of the PDPM parity adjustment
• Three new measures for SNF Quality Reporting Program over the next three years, with an additional three measures being removed and one being modified, and an increase to data completion thresholds for MDS data.
• Four new measures for SNF Value-Based Purchasing (VBP) over the next three years. Also proposed are changes to SNF VBP payback, to include increased payback percentage and health equity adjustments, and a change to enforcement that would eliminate the requirement for nursing homes to actively waive their rights to a hearing related to civil monetary penalties.