# CMS SNF PPS PDPM Case-Mix-Adjusted Rates (urban & rural)

`medicare_silver.fact_snf_pdpm_rate` · Medicare Advantage, Part D, Medicaid · status live · 350 rows

CMS Skilled Nursing Facility PPS PDPM case-mix-adjusted federal rates by fiscal year and urban/rural setting. The complete PDPM program era FY2020-FY2026 is live: FY2020-FY2022 are SHA-locked Federal Register final-rule tables and FY2023-FY2026 are CMS 508 CSV ZIPs. Each year has the 25-row A-Y wide grid for PT, OT, SLP, Nursing, and NTA CMIs and adjusted component rates.

**Grain.** One row per (fiscal_year, urban_rural, PDPM grid row) — PT/OT/SLP/Nursing/NTA CMIs + component rates.

| column | type | meaning |
|---|---|---|
| fiscal_year | int |  |
| urban_rural | string |  |
| row_seq | bigint |  |
| pdpm_group | string |  |
| nursing_cmg | string |  |
| pt_cmi | double |  |
| pt_component_rate | double |  |
| ot_cmi | double |  |
| ot_component_rate | double |  |
| slp_cmi | double |  |
| slp_component_rate | double |  |
| nursing_cmi | double |  |
| nursing_component_rate | double |  |
| nta_cmi | double |  |
| nta_component_rate | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_snf_pdpm_rate WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_snf_pdpm_rate")` first.