• SNF QRP Table for Reporting Assessment-Based Measures and SPADEs for the FY 2022 (Calendar 2020) SNF QRP APU  - REVISED (6/20)

    SNF QRP Table for Reporting Assessment-Based Measures and SPADEs for the FY 2022 (Calendar 2020) SNF QRP APU - REVISED (6/20)

    By CMS -

    On January 30, 2020, CMS published the FY 2022 Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Annual Payment Update (APU) Table for Reporting Assessment-Based Measures and Standardized Patient Assessment Data Elements (SPADES).

    Since that time, CMS has delayed the release of the SNF Minimum Data Set (MDS) Version 1.18.0 needed to support the Transfer of Health (TOH) Information Quality Measures and the new or revised SPADEs due to the COVID-19 Public Health Emergency.

    CMS has revised the SNF QRP APU table to reflect the updated Data Collection periods and applicable version number.  The table has also been updated with new footers to provide additional clarity on the use of the dash (-) for specific items. The revised table can be found in the Downloads section below with the title SNF QRP Table for Reporting Assessment-Based Measures for the FY 2022 SNF QRP APU.

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  • Final MDS 3.0 Item Sets and Data Specifications, Plus New Specs Erratata, for Oct. 1, 2020 (7/20)

    Final MDS 3.0 Item Sets and Data Specifications, Plus New Specs Erratata, for Oct. 1, 2020 (7/20)

    By CMS -

    In response to State Medicaid Agency and stakeholder requests, CMS has updated the MDS 3.0 item sets (version 1.17.2) and related technical data specifications.  These changes will support the calculation of PDPM payment codes on OBRA assessments when not combined with the 5-day SNF PPS assessment, specifically the OBRA comprehensive (NC) and OBRA quarterly (NQ) assessment item sets, which was not possible with item set version 1.17.1.  This will allow State Medicaid Agencies to collect and compare RUG-III/IV payment codes to PDPM ones and thereby inform their future payment models.

    The changes to the technical data specifications that support these modifications are contained in the Errata v3.00.4 which can be accessed in the file: MDS 3.0 data specs errata (v3.00.4) Final 04-30-2020 in the Downloads section below. Supporting materials including the 1.17.2 Item Change History report and the revised 1.17.2 Item Sets can be accessed in the file:  MDS 3.0 Final Item Sets v1.17.2 for October 1 2020 zip also posted in the Downloads section below.

    Please confirm with your State Medicaid Agency if your State will be requiring the calculation of the PDPM payment codes on the OBRA assessments when not combined with a 5-day SNF PPS assessment.

    June 25, 2020 update:  An updated errata (V3.00.5) was posted for the FINAL version (v3.00.1) of the MDS 3.0 Data Specifications, currently in production.  Two issues were identified.  These changes will go into production on October 1, 2020.  As a result, two edits will be revised.  These changes will facilitate calculation of PDPM HIPPS codes on OBRA assessments for states that wish to have this calculation performed. 

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  • Calendar Q2 2020 PBJ Staffing Data Due Aug. 14, 2020 and Five-Star/Nursing Home Compare Updates From CMS (6/20)

    Calendar Q2 2020 PBJ Staffing Data Due Aug. 14, 2020 and Five-Star/Nursing Home Compare Updates From CMS (6/20)

    By CMS -

    Changes to Staffing Information and Quality Measures Posted on the Nursing Home Compare Website and Five Star Quality Rating System due to the COVID-19 Public Health Emergency

    Memo #QSO 20-34-NH

    Posting Date 2020-06-25

    Fiscal Year 2020

    Summary

    The Centers for Medicare & Medicaid Services (CMS) is committed to transparency about changes in publicly reported information on nursing homes during the COVID-19 public health emergency. Changes to the Nursing Home Compare Website and Five Star Quality Rating System:

    • Staffing Measures and Ratings Domain: On July 29, 2020, Staffing measures and star ratings will be held constant, and based on data submitted for Calendar Quarter 4 2019.

    o Also, CMS is ending the waiver of the requirement for nursing homes to submit staffing data through the Payroll-Based Journal System. Nursing homes must submit data for Calendar Quarter 2 by August 14, 2020.

    • Quality Measures: On July 29, 2020, quality measures based on a data collection period ending December 31, 2019 will be held constant.

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  • AAPACN Advocacy Agenda Supports the LTPAC Nursing Profession During the COVID-19 Crisis

    AAPACN Advocacy Agenda Supports the LTPAC Nursing Profession During the COVID-19 Crisis

    By Tracey Moorhead -

    Without a doubt, COVID-19 has been the nearly singular focus for AAPACN and our members over the last few months. We have closely communicated with members to understand the needs and challenges of long-term and post-acute care professionals during this time and developed a lengthy roster of tools, tips, and alerts for you. AAPACN has also maintained a strong advocacy and policy presence at the federal level in support of our members and the nursing profession. You might be surprised to know that many federal policy issues continued to move forward and, in many cases, garnered more attention and action during the COVID-19 pandemic.

    AAPACN actively advocates at the federal level for policy priorities important to our members.  Even before COVID-19, these priorities included building and maintaining a strong LTPAC workforce; ensuring educational opportunities for LTPAC nurses; supporting nursing research initiatives; and advocating for common-sense regulatory compliance policies. Each of these issues is impacted and underscored by the challenges of COVID-19.

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