Patient-Driven Payment Model (PDPM)

The Patient-Drive Payment Model (PDPM) is scheduled to begin Oct. 1, 2019, and AANAC is here to help!

The Centers for Medicare & Medicaid Services released the Fiscal Year (FY) 2019 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule, which solidified their plans to implement PDPM.  PDPM is set to replace the RUG-IV case-mix classification model that has been the hallmark of SNF PPS for years. This new payment system will be unlike anything SNFs have seen before! You and your staff have a lot to do to get ready for PDPM, and AANAC will be with you the entire way.  Visit this page frequently to get tools, education, and resources to help you lead your team readiness.

PDPM FAQs and Fact Sheets_Revised (4/19)

Posted By: CMS
Post Date: 04/12/2019

Fact Sheets

This section includes fact sheets on a variety of PDPM related topics.

  • Administrative Level of Care Presumption under the PDPM
  • PDPM Payments for SNF Patients with HIV/AIDS
  • Concurrent and Group Therapy Limit
  • PDPM Functional and Cognitive Scoring
  • Interrupted Stay Policy
  • MDS Changes
  • NTA Comorbidity Score
  • PDPM Patient Classification
  • Variable Per Diem Adjustment

PDPM Frequently Asked Questions

This section contains frequently asked questions (FAQs) related to PDPM policy and implementation. The PDPM FAQs were updated on 4-4 and then again on 4-11.

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