Quality Measures and Administrative Procedures for the Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program for the FY 2025 SNF PPS Proposed Rule (CMS-10895)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10895 - Public Comment Responses.docx	Supplementary Document	Uploaded 2025-05-15	Available
CMS-10895 - Public Comment Responses.docx	Supplementary Document	Uploaded 2025-05-15	Repair queued
CMS-10895 - Supporting Statement - 2025 Final Rule.docx	Supporting Statement A	Uploaded 2025-05-15	Available
CMS-10895 - Supporting Statement - 2025 Final Rule.docx	Supporting Statement A	Uploaded 2025-05-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
267430	Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program		Unchanged

ICR Details

OMB Control No: 0938-1472	ICR Reference No: 202505-0938-003
Status: Active	Previous ICR Reference No: 202405-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Quality Measures and Administrative Procedures for the Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program for the FY 2025 SNF PPS Proposed Rule (CMS-10895)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/03/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/01/2025
Terms of Clearance: Prior to the re-submission of the information collection, the agency will assess its respondent burden. This assessment will be guided by the principles and priorities set forth in the the Executive Order 14192 title "Unleashing Prosperity Through Deregulation" (January 21, 2025) https://www.whitehouse.gov/presidential-actions/2025/01/unleashing-prosperity-through-deregulation/. The assessment will inform and be integrated in the agency’s next extension or revision of this information collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	36 Months From Approved
Responses	1,500	0	0
Time Burden (Hours)	7,680	0	0
Cost Burden (Dollars)	813,069	0	0

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Abstract: Abstract (2000 characters maximum) The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program is authorized by section 1888(h) of the Social Security Act (the Act), and it applies to freestanding SNFs, SNFs affiliated with acute care facilities, and all non-Critical Access Hospital (CAH) swing-bed rural hospitals. Beginning with payment for services furnished on October 1, 2018, section 1888(h) of the Act requires the Secretary to reduce the adjusted Federal per diem rate determined under section 1888(e)(4)(G) of the Act otherwise applicable to a SNF for services furnished during a fiscal year (FY) by 2 percent, and to adjust the resulting rate for a SNF by the value-based incentive payment amount earned by the SNF based on the SNF’s Performance Score for that FY under the SNF VBP Program. Through the SNF VBP Program, incentive payments are awarded to SNFs to encourage improvements in the quality of care provided to Medicare beneficiaries. The Skilled Nursing Facility Quality Reporting Program (SNF QRP) is authorized by section 1888(e)(6) of the Act, and it applies to freestanding SNFs, SNFs affiliated with acute care facilities, and all non-CAH swing-bed rural hospitals. Section 1888(e)(6)(A)(i) of the Act requires the Secretary to reduce by 2 percentage points the otherwise applicable Annual Payment Update (APU) to a SNF for a FY if the SNF does not comply with the requirements of the SNF QRP for that FY. Section 1888(e)(6)(B)(i)(II) of the Act requires that each SNF submit data on quality measures specified under section 1899B(c)(1) of the Act and data on resource use and other measures specified under section 1899B(d)(1) of the Act in a manner and within the timeframes specified by the Secretary. In addition, section 1888(e)(6)(B)(i)(III) of the Act requires, for FYs beginning on or after October 1, 2018, that each SNF submit standardized patient assessment data required under section 1899B(b)(1) of the Act in a manner and within the timeframes specified by the Secretary. Section 1888(h)(12)(A) of the Act (as added by section 111(a)(4) of Division CC of the Consolidated Appropriations Act, 2021 (Pub. L. 116–260)), requires the Secretary to apply a process to validate data submitted under the SNF VBP Program and the SNF QRP.

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Authorizing Statute(s): US Code: 42 USC 1888(e)(6) Name of Law: Social Security Act
  

Citations for New Statutory Requirements: US Code: 42 USC 1395yy Name of Law: Social Security Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV30	Final or interim final rulemaking	89 FR 64048	08/06/2024

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 23424	04/03/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 64048	08/06/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,500	0	1,500	0	0	0
Annual Time Burden (Hours)	7,680	0	7,680	0	0	0
Annual Cost Burden (Dollars)	813,069	0	813,069	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection, therefore, there are no changes.

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Annual Cost to Federal Government: $2,867,451

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/01/2025

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