PDPM Manual Updates from CMS

The Centers for Medicare and Medicaid Services (CMS) this week issued three important manual updates for PDPM implementation.

  1. The Medicare General Information, Eligibility, and Entitlement Manual PDPM update contains minor updates to certification guidance.
  2. The Medicare Benefit Policy Manual PDPM update contains minor updates to the SNF benefit period and benefit days sections in chapter 3, as well as major changes to the SNF PPS guidance in Chapter 8.
  3. The Medicare Claims Processing Manual PDPM update provides substantial updates to the chapter 6 SNF PPS claims processing instructions.

AHCA has conducted a preliminary review of these updates and will share key observations in tomorrow’s PDPM weekly update. And make plans to join us for the upcoming “Week 2 of PDPM Implementation Status Update” all-member webinar on Friday, October 11, 2019 from 3-4 PM Eastern. You may register for the webinar here.

Please contact pdpm@ahca.org with any questions or concerns.