Medicare SNF PPS FY 2026 Final Payment Rule

AHCA CEO and President Clif Porter and AHCA team will provide details on what you need to know for the upcoming payment rule.

Registration is free to AHCA/NCAL members.

If you are not able to attend live, the recording will be provided to you. 

Instructions to Register: 

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Email educate@ahca.org if you need assistance.

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Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year (FY) 2026. AHCA has reviewed the final rule and developed a summaryoutlining key provisions and impacts on members. Please note this is for members only and requires an AHCA/NCAL log-in to view.

As a reminder, the final rule:

• Increased rates by 3.2%, or approximately $1.16 billion, beginning October 1, 2025.
• Finalized several substantive changes to the PDPM ICD-10 code mappings.
• Removed four items previously adopted as standardized patient assessment data elements under the social determinants of health category beginning with the FY 2027 SNF Quality Reporting Program (QRP).
• Amended the SNF QRP and Value-Based Purchasing Program reconsideration policies and processes.

Please contact AHCA SVP of Reimbursement Policy John Kane with questions