42 CFR 413.310 - Basis of payment.

Regulations last checked for updates: May 31, 2024

Title 42 - Public Health last revised: May 13, 2024

View all text of Subpart I [§ 413.300 - § 413.321]

§ 413.310 - Basis of payment.

(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.

authority: 42 U.S.C. 1302,1395d,1395f,1395g,1395l,i,and,1395m,1395x,1395x,1395hh,1395rr,1395tt,and

source: 51 FR 34793, Sept. 30, 1986, unless otherwise noted.

cite as: 42 CFR 413.310