Provider Concerns about Patient-Driven Payment Mode April 9, 2019 by Jerri Lynn Ward, J.D. The PDPM takes effect on October 1, 2019. You can read about the concerns being raised on behalf of nursing homes under the model here. Share this:Tweet Click to share on Reddit (Opens in new window) Reddit Click to email a link to a friend (Opens in new window) Email Like this:Like Loading...