SNF QRP Non-Compliance Letters
Request for Reconsideration by August 7

In the Skilled Nursing Facility Prospective Payment System Final Rule the Centers for Medicare & Medicaid Services (CMS) finalized the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) requirements. Any SNF determined to be non-compliant with the SNF QRP requirements may be subject to a two (2) percentage point reduction in their annual payment update (APU) beginning fiscal year (FY) 2018 and each subsequent rate year.

Any SNFs found non-compliant according to the quality reporting requirements should have received a letter of non-compliance through the Quality Improvement and Evaluation System Assessment Submission and Processing (QIES-ASAP) system, as well as through the United States Postal Service. Non-compliance notifications were mailed by Medicare Administrative Contractors and placed into QIES CASPER folders on July 9. This letter includes instructions for requesting reconsideration of this decision.  The letter also includes the reason(s) for failing APU compliance. Instructions to download files in QIES may be found at https://www.qtso.com/mds30.html.

If you receive a letter of non-compliance, you may submit a request for reconsideration to CMS via email no later than 11:59 pm PT on August 7. See the instructions in your notification letter and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.