The implementation of the Patient Driven Payment Model (PDPM) on October 1, 2019 required business process and assessment frequency and priority changes. From a one-page overview of PDPM for residents to member-exclusive webinars, we are committed to offering timely and relevant tools to assist you with this transition.
Pennsylvania Resources
Available Resources from the Federal Government:
- PDPM Grouper: Look in the Downloads section of the CMS MDS 3.0 Technical Information page, and consider sharing with your software vendors for testing.
- CMS PDPM Resource Page: Offers several useful resources, including fact sheets on particular topics, a Frequently Asked Questions document, and an overview of PDPM that compares it with the current RUG-IV payment system.
- PDPM MDS Fact Sheet: Provides billers with a schedule of assessments and billing days, comparing RUG-IV to PDPM.
- PDPM: What is Changing and What is Not (slide deck): An overview of PDPM by John Kane from the Centers for Medicare & Medicaid
- Changes to the RAI Manual and MDS 3.0 Item Sets (slide deck): A comprehensive overview of the changes to the MDS, including those related to PDPM, by Teresa Mota, Abt Associates.
- MLNConnects News - August 22, 2019: SNF PPS Patient Driven Payment Model: Get Ready for Implementation on October 1, includes links to other PDPM resources.
- Background Resources: 2019 SNF PPS Rule, 2020 SNF PPS Rule, MDS 3.0 RAI Manual (scroll to downloads)
We are pleased to offer additional PDPM resources that are exclusive to our members. To access this content, please log into your online account below.
If you have questions or resource suggestions, please contact Beth Greenberg, Senior Director, Regulatory Affairs.