On July 31, 2025, CMS released the FFY 2026 Skilled Nursing Facility (SNF) Prospective Payment System Final Rule (CMS-1827-F).
- SNF payments up 3.2% (3.3% market basket + 60 basis point forecast error adjustment – 70 basis point productivity adjustment)
- $1.16 BB increase in SNF PPS payments gross of expected $208.36 MM in VBP reductions
- 34 Code Mapping changes in ICD-10 Patient-Driven Payment Model (PDPM)
- 2% of FFS withheld for VBP model from which 50%-70% is repaid based on performance
- 2% annual payment update reduction if not compliant in quality reporting program (QRP)
- Changed or removed some QRP assessment measures
Here is a link to the final rule homepage:
Here is a link to the Fact Sheet from CMS that summarize the Final Rule:
