42 C.F.R. § 413.310

Basis of payment.

Last amended: 2017Year: 2026Length: 115 wordsSubsections: 2Official source

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
42 C.F.R. § 413.310: Basis of payment. | Justis AI