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Rural Health
News by Topic: Long-term care

Apr 23, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) revising regulations for Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE). Revisions include Star Ratings, marketing and communications, agent/broker compensation, health equity, dual-eligible special needs plans (D-SNPs), utilization management, network adequacy, and other programmatic areas. These regulations are effective June 3, 2024.
Source: Federal Register
Apr 23, 2024 - Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) establishing minimum staffing standards for long-term care facilities. This rule also requires states to report the percentage of Medicaid payments for certain Medicaid-covered institutional services that are spent on compensation for direct care workers and support staff. These regulations are effective on June 21, 2024, except for § 483.71, § 483.35(b)(1) and (c)(1), § 483.35(b)(1)(i) and (ii), and §§ 438.72(a) and 442.43 as indicated.
Source: Federal Register
Apr 17, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the reinstatement of an information collection titled "Skilled Nursing Facility and Skilled Nursing Facility Complex Cost Report." The information collected will be used to determine the cost weights for the skilled nursing facility (SNF) market basket, conduct payment adequacy analyses, and determine reasonable costs. Comments are due by May 17, 2024.
Source: Federal Register
Apr 16, 2024 - The Centers for Medicare & Medicaid Services (CMS) seeks comments on revisions to an information collection titled "Reform of Requirements for Long-Term Care Facilities." The information collected will be used by CMS, state survey agencies, and long-term care (LTC) facilities to ensure compliance with Medicare and Medicaid requirements and quality of care provided to LTC residents. Revisions include new requirements proposed at 42 CFR 483.35 and new section 483.71, which were discussed in the September 6, 2023, proposed rule on page 61391. Comments are due by June 17, 2024.
Source: Federal Register
Apr 11, 2024 - Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2025. Contains details of proposed changes impacting Medicare graduate medical education (GME) for teaching hospitals and payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals, among other things. Comments are due by June 10, 2024.
Source: Federal Register
Apr 10, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the August 7, 2023, final rule. This notice is effective April 10, 2024, and is applicable October 1, 2023.
Source: Federal Register
Apr 3, 2024 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would update the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2025. Includes proposals to rebase and revise the SNF market basket to reflect a 2022 base year; update the wage index used under the SNF PPS to reflect data collected during the most recent decennial census; technical revisions to the code mappings used to classify patients under the Patient-Driven Payment Model (PDPM) to improve payment and coding accuracy; and update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. Among other things, this rule also includes proposals to strengthen nursing home enforcement requirements. Comments are due by May 28, 2024.
Source: Federal Register
Mar 27, 2024 - Notice from the U.S. Department of Veterans Affairs (VA) making changes to rates contained within the VA fee schedule, which is used as part of the rate structure for certain agreements the VA uses to purchase community care under the Veterans Community Care Program (VCCP). This notice also describes the VA's use of non-reimbursable codes and industry-standard business practices to ensure consistent adjudication of claims for services deemed non-billable or non-reimbursable. These changes are effective March 27, 2024.
Source: Federal Register
Mar 4, 2024 - A rural Montana VA Community Living Center uses telehealth to connect residents with specialty care, allowing rural residents access to timely care. Notes this helps in areas with shortages of specialists and other healthcare workforce.
Source: Veteran's Administration
Feb 26, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the collection of data related to the Patient Driven Payment Model and the Skilled Nursing Facility Quality Reporting Program (QRP); and 2) National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey. Comments are due by March 27, 2024.
Source: Federal Register