TRICARE Reimbursement Manual 6010.61-M, April 1, 2015 Chapter 8 Skilled Nursing Facilities (SNFs) Revision: C-44, December 13, 2019 Section/Addendum Subject/Addendum Title 1 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) For Services Received Prior To October 1, 2019 2 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) For Care Rendered On Or After October 1, 2019 A Letter To Skilled Nursing Facility (SNF) Regarding Participation Agreement For Services Received On Or After October 1, 2019 B Letter To Skilled Nursing Facility (SNF) Regarding Participation Agreement For Services Prior To October 1, 2019 C Resource Utilization Group-III/IV (RUG-III/IV) For Services Received Prior To October 1, 2019 Figure 8.C-1 RUG-44 Category (RUG-III Before January 1, 2006) Figure 8.C-2 RUG-53 Category (RUG-III Effective January 1, 2006) Figure 8.C-3 RUG-66 Category (RUG-IV Effective October 1, 2010) D (FY 2018) Example Of Computation of Adjusted Prospective Payment System (PPS) Rates And Skilled Nursing Facility (SNF) Payment - FY 2018 For Services Received Prior To October 1, 2019 D (FY 2019) Example Of Computation of Adjusted Prospective Payment System (PPS) Rates And Skilled Nursing Facility (SNF) Payment - FY 2019 For Services Received Prior To October 1, 2019 E Fact Sheet Regarding Consolidated Billing and Ambulance Services For Services Received Prior To October 1, 2019 F (FY 2018) Case-Mix Adjusted Federal Rates For Skilled Nursing Facilities (SNFs) - FY 2018 For Services Received Prior To October 1, 2019 Figure 8.F.2018-1 Case-Mix Adjusted Federal Rates For Urban SNFs By Labor And Non-Labor Component (RUG-66 Rates) Figure 8.F.2018-2 Case-Mix Adjusted Federal Rates For Rural SNFs By Labor And Non-Labor Component (RUG-66 Rates) Figure 8.F.2018-3 Case-Mix Adjusted Federal Rates And Associated Indexes - Urban (RUG-66 Rates) Figure 8.F.2018-4 Case-Mix Adjusted Federal Rates And Associated Indexes - Rural (RUG-66 Rates) F (FY 2019) Case-Mix Adjusted Federal Rates For Skilled Nursing Facilities (SNFs) - FY 2019 For Services Received Prior To October 1, 2019 Figure 8.F.2019-1 Case-Mix Adjusted Federal Rates For Urban SNFs By Labor And Non-Labor Component (RUG-66 Rates) Figure 8.F.2019-2 Case-Mix Adjusted Federal Rates For Rural SNFs By Labor And Non-Labor Component (RUG-66 Rates) Figure 8.F.2019-3 Case-Mix Adjusted Federal Rates And Associated Indexes - Urban (RUG-66 Rates) Figure 8.F.2019-4 Case-Mix Adjusted Federal Rates And Associated Indexes - Rural (RUG-66 Rates) G (FY 2018) Wage Indexes For Urban Areas For Skilled Nursing Facilities (SNFs) Based On Core-Based Statistical Area (CBSA) Labor Market Areas - FY 2018 For Services Received Prior To October 1, 2019 G (FY 2019) Wage Indexes For Urban Areas For Skilled Nursing Facilities (SNFs) Based On Core-Based Statistical Area (CBSA) Labor Market Areas - FY 2019 For Services Received Prior To October 1, 2019 H (FY 2018) Wage Indexes For Rural Areas For Skilled Nursing Facilities (SNFs) Based On Core-Based Statistical Area (CBSA) Labor Market Areas - FY 2018 For Services Received Prior To October 1, 2019 H (FY 2019) Wage Indexes For Rural Areas For Skilled Nursing Facilities (SNFs) Based On Core-Based Statistical Area (CBSA) Labor Market Areas - FY 2019 For Services Received Prior To October 1, 2019