On August 2, the Centers for Medicare and Medicaid Services (CMS) published new guidance on the Home and Community-Based Services (HCBS) Settings Rule for new construction settings. Specifically, the guidance focuses on the heightened scrutiny process required for those new construction settings presumed to be an institutional setting.
A summary of key provisions of the CY 2020 home health proposed rule identifies many of the key changes. We are partnering with ElevatingHome/Visiting Nurse Associations of America to submit a joint public comment letter. Our current draft is available for review. In particular we are seeking member input and feedback on the below topics:
On July 23, the US Department of Agriculture (USDA) announced a proposed rule that would change eligibility criteria for SNAP benefits. SNAP is a critical safety program that provides food access to millions of Americans and is available only to households with low incomes, at or slightly above the federal poverty level.
On July 16, 2019, the Centers for Medicare and Medicaid Services (CMS) released Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency in a proposed rule to reform the Phase 3, Requirements of Participation (RoPs).
CMS has stated that through identification, examination, and industry and stakeholder input they identified:
Contact: Lisa Sanders
lsanders@leadingage.org / 202-508-9407
July 17, 2019 Washington DC -- Statement from LeadingAge President and CEO Katie Smith Sloan:
These providers have until 11:59pm PST on August 15, 2019 to request reconsideration of the non-compliance based upon the instructions provided in the non-compliance letter or this information can also be found on the SNF Quality Reporting Reconsideration and Exception & Extension webpage and Reconsideration Requests webpage for Hospice providers.
In the report Hospice Deficiencies Pose Risks to Medicare Beneficiaries, the OIG analyzed Centers for Medicare and Medicaid Services (CMS) complaint data for the years 2012 through 2016, along with data from state agencies and accrediting organizations. The report found that 80% of hospices were cited for at least one deficiency in care and 20% of providers had a serious deficiency.
On June 14, the U.S. Department of Health and Human Services (HHS) issued through the Federal Register a proposed rule that if finalized would eliminate certain anti-discrimination protections in health and long-term services and support (LTSS) settings, particularly as it relates to LGBT individuals and non-English speakers. Below is a list of key changes proposed by HHS:
While there is an in-person option at the Four Seasons Hotel in Baltimore, MD, please note there is also a webinar-based option that is free. Both options require registration. The event will cover a number of topics including the changes to the RAI Manual and MDS 3.0 Item Sets, information on the Patient Driven Payment Model (PDPM) and how it relates to SNF QRP, new and current quality measures, available reports, etc.
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