CMS Updated SNF QRP Manuals and Measure Calculation Resources Posted

The Centers for Medicare & Medicaid Services (CMS) has posted a number of updated Skilled Nursing Facility Quality Reporting (SNF QRP) manuals and other measure calculation resources on the agency’s SNF QRP Measures and Technical Information webpage. These files are effective October 1, 2023, and can be accessed in the Downloads section of this webpage. 

• The SNF QRP Quality Measure Calculations and Reporting User’s Manual Version 5.0 serves as an update to the specifications used to calculate quality measures that are included in the SNF QRP.  
• The SNF QRP Measure Calculations and Reporting User’s Manual Change Table Version 5.0 provides a summary of measure-related changes between Version 5.0 and Version 4.0.  
• The Risk Adjustment Appendix File for the SNF QRP Measure’s Calculations and Reporting User’s Manual Version 5.0 XLSX file contains risk-adjustment values used to calculate the risk-adjusted quality measures. 
• The Crosswalks of Hierarchical Condition Categories (HCC) to International Classification of Diseases (ICD)-10 codes is used in risk-adjustment models for the Discharge Self-Care, Discharge Mobility, and Discharge Function Score measures.  
• The Imputation Appendix File for the SNF QRP Measure’s Calculations and Reporting User’s Manual Version 5.0​ contains imputed coefficients used to calculate the risk-adjusted quality measures and developed for the new Discharge Function Score measure.