You can use it to view your facility s rates.
Therapy component rug rate.
Under pdpm there are five case mix components.
Pt and ot components receive 100 of base per diem rate for days 1 20 of a stay.
Therapy provides their minutes nursing works on their adls and the facility gets paid a per diem rate.
Physical therapy pt occupational therapy ot speech therapy st nursing and non therapy ancillary nta.
In rural facilities the nursing component base rate is 167 45 the therapy component is 152 24 and the other component is 91 11.
Fy 2020 unadjusted federal rates per diem rate component pdpm urban rural.
Unadjusted federal rates per diem rate component rug iv urban rural.
The nta component is based on the presence of comorbidities and extensive services received.
Texas medicaid adjusts the rug 34 relative risk weights to reflect local practice to establish person level payments.
Cms s rai version 3 0 manual ch 3.
Nta component receives 300 of the base per diem rate for days 1 3 of a stay.
9 therapy tep has been a valuable resource recommendations from the therapy tep have been implemented in ongoing analyses and will inform planned.
On july 31 2018 the fiscal year 2019 fy19 medicare skilled nursing facility snf final rule was released by the centers for medicare and medicaid services cms.
The 2020 snf pdpm rate calculator is now available.
Rug assignments weights are applied at the individual level but the average relative risk of a facility s residents is typically used to adjust the nursing components of state medicaid payment systems one exception.
Nursing case mix adjusted 181 44 173 34 therapy case mix adjusted 136 67 157 60 therapy non case mix adjusted 18 00 19 23 non case mix adjusted 92 60 94 31.
Therapy base rate therapy index rug or rehab non rehab payment rug non case mix therapy component non case mix component nursing base rate nta nursing 43 57.
The nta component is also a variable rate and is reduced over the length of stay.
In the skilled nursing profession we have grown accustomed to this model since 1998.
Areas the nursing component base rate is 175 28 the therapy component base rate is 132 03 and the other component is a uniform 89 46 regardless of the case mix group.
Therapy based on volume of services or non case mix base rate nursing does not reflect variations in non therapy ancillary use.
Mds items g october 2014 page g 8 g0110.
All residents are now classified into one of six nta case mix groups and payment for nta services are broken out from nursing services as currently is done under rug iv.
Beginning day 4 through the remainder of the stay the nta component receives 100 of the base per diem rate.
Activities of daily living adl assistance cont adl self performance algorithm start here remember to review the instructions for the rule of 3 and the adl self.
