CMS announces a new Payroll-Based Journal system

Apr 30, 2015 | CMS' PBJ Policies

CMS announces a new Payroll-Based Journal system

The Payroll-Based Journal staffing data system was launched in April, 2015 when CMS documented the PBJ plan with several Policy Memos.  These Survey & Certification Letters defined the outlines and purpose of PBJ data collection.  While the technical details have evolved, the core purpose of the PBJ program continues much as it was initially defined.

There was minimal news coverage of the new PBJ program at first, with an early blog by an industry consultant and a short article in an industry publication.

CMS announces Payroll-Based Journal system to be implemented

February’s announcement of adjustments to the Five Star Rating included the announcement that payroll-based staffing would be implemented in the next year or two for nursing homes, and CMS announced yesterday the release of its staffing submission data Payroll-Based Journal (PBJ) system. Section 6106 of the ACA mandated that nursing facilities electronically submit direct care staffing information, including agency and contract staff, to CMS using payroll or other auditable data.


“CMS Announces Payroll-Based Journal System to Be Implemented.” CMS Compliance Group, 9 Apr. 2015,

CMS develops staffing, census system

The Centers for Medicare & Medicaid Services (CMS) announced today that it has developed an electronic system whereby long-term care (LTC) facilities will submit staffing and census information as required under the Affordable Care Act. The system, which CMS is calling the Payroll-Based Journal (PBJ), is being implemented via funding from the Impact Act of 2014.


Bowers, Lois. “CMS Develops Staffing, Census System.” I Advance Senior Care, 8 Apr. 2015,

Related CMS and PBJ Resources

To learn more about the details, policies and information in these articles, please review these CMS and PBJ publications.