CMS Issues FFY 2021 LTCH PPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has issued its long-term care hospital (LTCH) prospective payment system (PPS) proposed rule for federal fiscal year (FFY) 2021.

CMS estimates that overall payments for LTCHs will decrease by 0.9%, or approximately $36 million, compared to FFY 2020. This decrease is largely attributed to the statutory requirement that, beginning in FFY 2021, all site-neutral cases will be paid the full site-neutral rate rather than the higher, blended rate. CMS did not propose any changes to the LTCH quality reporting program.

A fact sheet on the proposed rule is available on CMS’s website. SDAHO will provide members with a brief summary and impact analysis in the coming weeks.  ​