Annual Updates to the SNF Pricer

30.5 - Annual Updates to the SNF Pricer (Rev. 10880, Issued: 08-06-21, Effective: 11-08-21, Implementation: 11-08-21) Rate and weight information used by the SNF Pricer is updated periodically, usually annually. Updates occur each October, to reflect the fact that SNF PPS rates are effective for a Federal fiscal year. Updates may also occur at other points in the year when required by legislation. The following update items, when changed, are published in the “Federal Register:" • The following components of the unadjusted Federal rates for both Rural and Urban areas: o physical therapy, o occupational therapy, o speech-language pathology, o nursing, o non-therapy ancillary, and o non-case-mix. • The case-mix indexes to be used for each case-mix group. • The factors to be applied in making the area wage adjustment. • Changes, if any, to the labor and non-labor percentages. Whenever these update items change, Medicare also publishes a Recurring Update Notification to inform providers and A/B MACs (A) about the changes. These Recurring Update Notifications also describe how the changes will be implemented through the SNF Pricer.