• CMS QSO Memo: Some Expirations of COVID-19 Survey/Regulatory Waivers Begin May 10 (4/21)

    CMS QSO Memo: Some Expirations of COVID-19 Survey/Regulatory Waivers Begin May 10 (4/21)

    By CMS -

    CMS continues to review the need for existing waivers issued in response to the Public Health Emergency (PHE). Over the course of the PHE, nursing homes have developed policies or other practices that we believe mitigates the need for certain waivers.

    • Therefore, CMS is announcing it is ending:
      • The emergency blanket waivers related to notification of Resident Room or Roommate changes, and Transfer and Discharge notification requirements;
      • The emergency blanket waiver for certain care planning requirements for residents transferred or discharged for cohorting purposes.
      • The emergency blanket waiver of the timeframe requirements for completing and transmitting resident assessment information (Minimum Data Set (MDS).
    • CMS is providing clarification and recommendations for Nurse Aide Training and Competency Evaluation Programs (NATCEPs).

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  • FY 2022 SNF PPS Proposed Rule Considers PDPM Parity Adjustment and Other Changes (4/21)

    FY 2022 SNF PPS Proposed Rule Considers PDPM Parity Adjustment and Other Changes (4/21)

    By CMS -

    Fiscal Year (FY) 2022 Skilled Nursing Facility Prospective Payment System Proposed Rule (CMS 1746-P) Fact Sheet

    CMS issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2022. In addition, the proposed rule includes proposals for the SNF Quality Reporting Program (QRP), and the SNF Value-Based Program (VBP) for FY 2022. CMS is publishing this proposed rule consistent with the legal requirements to update Medicare payment policies for SNFs on an annual basis. The major provisions of the proposed rule include the following:

    • FY 2022 Proposed Updates to the SNF Payment Rates  
    • Methodology for Recalibrating the PDPM Parity Adjustment
    • Rebase and Revise the SNF Market Basket
    • Section 134 of the Consolidated Appropriations Act, 2021  – New Blood Clotting Factor Exclusion from SNF Consolidated Billing 
    • Proposed changes in PDPM ICD-10 Code Mappings 
    • Skilled Nursing Facility Quality Reporting Program (SNF QRP) update
    • Closing the Health Equity Gap – RFI
    • Skilled Nursing Facility (SNF) Healthcare-Associated Infections (HAI) Requiring Hospitalization Measure
    • COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) Measure
    • Transfer of Health (TOH) Information to the Patient-PAC Quality Measure
    • Public Reporting of Quality Measures with Fewer than Standard Numbers of Quarters Due to COVID-19 Public Health Emergency (PHE) Exemptions
    • Fast Healthcare Interoperability Resources (FHIR) in support of Digital Quality Measurement in Quality Reporting Programs – RFI
    • Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program
    • Proposal to suppress the SNF readmission measure in the SNF VBP Program
    • Expanded SNF VBP Program

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