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HomeAdvocacy and Policy

Patient-Driven Payment Model (PDPM)

Beginning on October 1, 2019, skilled nursing facilities (SNFs) will be faced with a new payment model that eliminates and replaces the current Resources Utilization Groups (RUG) for Medicare Part A beneficiaires. The new payment model will focus on patient characteristics and needs instead of the number of therapy minutes provided. Therapist will be encouraged to give the patient the amount of therapy that will help best help the patient instead of providing the number of minutes that coincides with a certain RUG level. 

The Centers for Medicare & Medicaid (CMS) will continue to track the amount of therapy provided to each patient and therapist will need to demonstrate improvements in the following areas: 

- Activities of Daily Living (ADLs)
- Instrumental Activities of Daily Living (IADLs)
- Behavioral & Psychosocial Skills

- Falls Prevention
- Vision
- Functional Cognition

Important articles: 
The Future is Now: How Occupational Therapy Can Thrive
Eight Ways to Prepare for the Skilled Nursing Facilities Patient Driven Payment Model (PDPM) - has links to FREE CE Webinars

Visit for the latest updates! 

Patient Driven Groupings Model (PDGM)

Beginning January 1, 2020 a new payment model will be implemented by the Centers for Medicare & Medicaid (CMS) for Medicare Home Health Part A. This payment change eliminates reimbursment based on therapy thresholds and instead provides bundled payments based on a variety of factors including Functional Impairment Level.

Check out the AMAZING resources listed below.  


WHEN: March 4, 2020
WHERE: Jefferson City, MO
WHAT: Come to Jefferson City and meet your Representatives to advocate for the advancement of occuaptional therapy, network with other students and practitioners, develop leadership and public speaking skills!