No Delay for SNF RUG-IV Oct. 1 Implementation
The Centers for Medicare & Medicaid Services (CMS) announced, May 24, it will not delay implementing its new Resource Utilization Group payment categories for skilled nursing facilities (SNFs), known as RUG-IV, citing limitations in its SNF payment software.
The Patient Protection and Affordable Care Act, or health reform law, delayed implementation of RUG-IV from Oct. 1, 2010 to Oct. 1, 2011. However, legislation pending in Congress (H.R. 4213) would reauthorize implementation of RUG-IV on Oct. 1, as originally specified in the 2010 SNF Prospective Payment System (PPS) Final Rule.
If the legislation does not pass, CMS said it will retroactively adjust the SNF payment rates to account for the one-year delay mandated by the health reform law. As specified in the SNF PPS Final Rule and the health reform law, CMS also will implement an updated SNF patient assessment instrument (MDS 3.0) on Oct. 1.