Medicare

For more information explore the following links.  Some links may require your AHCA/NCAL login.

Part A

• PDPM – Patient Driven Payment Model (Effective Date October 1, 2019)

Part B

• Bundled Payments
• Consolidated Billing

Resident Notices

• Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNFABN)
• Centers for Medicare & Medicaid Services (CMS) Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 (for Part B)

Publications & Education

• Palmetto GBA Part A Events and Education
• Palmetto GBA Part B Events and Education

Centers for Medicare & Medicaid Services (CMS) MLN Connects (Published Weekly)

The Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facilities (SNFs) / Long Term Care Open Door Forum (ODF) addresses the concerns and issues of both Medicare and Medicaid SNF providers. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are included in the forums.

• American Health Care Association (AHCA) Medicare Resources

Non-Medicaid Managed Care

• Medicare Part C – Medicare Advantage

Additional Resources & Links

• Skilled Nursing Facility (SNF) Quality Reporting Program