Patient Driven Payment Model (PDPM)

The implementation of the Patient Driven Payment Model (PDPM) on October 1, 2019 will require business process and assessment frequency and priority changes. LeadingAge PA is committed to providing resources to assist your preparation for the upcoming transition.

Pennsylvania Resources

PDPM is Coming - Get to Know the Basics: The PA Department of Health MDS Teleconference heard a high level overview via webinar from Myers and Stauffer, LC.
DOH Teleconference on MDS Updates and PDPM from Myers and Stauffer, LC on MDS/RAI Changes and PDPM Policy Updates for October 1, 2019. Information from the webinar is available as slides, or Coding instructions for Section GG, or the ability to order a copy of the teleconference.

Available Resources from the Federal Government:

PDPM Grouper Beta Version: 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.

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.

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