Re: PDPM and January Rates

Washington State Aging and Long-Term Support Administration sent this bulletin at 09/25/2023 11:10 AM PDT

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Washington State Department of Social & Health Services

Aging and Long-Term Support Administration

                  September 25, 2023

As you are likely aware, CMS is discontinuing support for RUG categorization for nursing facility residents effective September 30, 2023. With that date quickly approaching, there are a few important things for you to keep in mind:

 

  • January 2024 rates will not be affected by this discontinuation. January 2024 rates will be set using the March through September 2023 RUG data in alignment with the current SNF rate setting methodology.
  • The Department plans on implementing the new PDPM system in some capacity beginning with the July 1, 2024 rate. The details of the implementation won’t be finalized until after Legislative session.
  • The Department’s overarching goal in transitioning to PDPM is to minimize negative impacts. However, please keep in mind that even with effort some impacts, both positive and negative, are likely to occur.