In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. This site includes a variety of educational and training resources to assist stakeholders in preparing for PDPM implementation. View and bookmark the website.
LeadingAge Kansas has partnered with BKD to provide PDPM Academy which includes a toolkit, webinars, ask the expert calls, roundtables and workshops throughout the year to help you prepare for PDPM. The Academy is designed to help members through the process in an easier step by step timeline. Stay tuned as more information will be available after Thanksgiving!
CMS will be conducting a SNF PPS – PDPM National Provider Call on Tuesday, December 11, 2018. SNF PPS: New Patient Driven Payment Model Call Tuesday, December 11, 2018, from 1:30 to 3 pm ET
Register for Medicare Learning Network events.
Fact Sheets
- 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
PDPM Training Presentation
This section includes a training presentation which can be used to educate providers and other stakeholders on PDPM policy and implementation.
PDPM Resources
This section includes additional resources relevant to PDPM implementation, including various coding crosswalks and classification logic.
- PDPM Classification Walkthrough
- PDPM GROUPER Logic (SAS)
- ICD-10 Clinical Category Crosswalk
- ICD-10 NTA Comorbidity Crosswalk
