42 C.F.R. § 413.310
Basis of payment.
Cite as 42 C.F.R. § 413.310 (2026)
(a)
Method of payment.
Under the prospectively determined payment rate system, a qualified SNF receives a per diem payment of a predetermined rate for inpatient services furnished to Medicare beneficiaries. Each SNF's routine per diem payment rate is determined according to the methodology described in § 413.312 and is based on various components of SNF costs.
(b)
Payment in full.
The payment rate represents payment in full for routine services as described in § 413.314 (subject to applicable coinsurance as described in subpart G of part 409 of this title), and for routine capital costs. Payment is made in lieu of payment on a reasonable cost basis for routine services and for routine capital costs.
- Cross-references to the CFR
- 413.312413.314