Tag: CMS

CMS releases OASIS-E guidance manual

CMS has released the much-anticipated draft guidance manual for the OASIS-E version of the OASIS data set. The OASIS-E will be used for assessments beginning Jan. 1, 2023. The new 396-page guidance manual includes an item-by-item guide to the OASIS-E assessment instrument (page 13), as well as a 10-page description of the changes from OASIS-D […]

FDA limits authorization for J&J COVID-19 vaccine

In a new message to providers May 5, 2022, CMS is noting that the FDA has limited the authorized use of the Janssen (Johnson & Johnson) COVID-19 vaccine. The vaccine is now only authorized for patients 18 years or older: For whom other authorized or approved COVID-19 vaccines are not accessible or clinically appropriate Who […]

CMS releases new HHVBP tools

CMS has provided a new video and guidance to get agencies ready for the national rollout of the Home Health Value-Based Purchasing model in 2023. The new tools include: The on-demand video Quality Measures Used in the Expanded HHVBP Model, providing measure-specific information on each of the quality measures included in the expanded Model. A […]

CMS updates documentation requirement for nurse practitioners

CMS is updating the requirements when an agency is working with a nurse practitioner for home health orders or the care plan. The new language, added to Chapter 7 §30.2.1 in the benefit policy manual, notes: “In the absence of State law governing collaboration, collaboration is to be evidenced by the NPs documenting their scope […]

CMS updates nine-state HHVBP model’s results

CMS has released the fifth annual report of the Home Health Value-Based Purchasing Model as officials prepare to roll the nine-state model out nationwide beginning in 2023. The findings from the new report note Total Performance Scores were 7% higher among agencies in the HHVBP states: Arizona, Florida, Iowa, Maryland, Massachusetts, Nebraska, North Carolina, Tennessee […]

CMS releases data on nursing home and hospital ownership

The Centers for Medicare & Medicaid Services (CMS) released public data on mergers, acquisitions, consolidations, and changes of ownership from 2016-2022 for hospitals and nursing homes enrolled in Medicare. The data includes the following: Changes of ownership have been much more common in nursing homes than hospitals over the past six years. There is also […]

CMS will pay for second COVID-19 booster for patients

CMS announced April 6, 2022, that it will pay for a second COVID-19 booster shot of either the Pfizer-BioNTech or Moderna vaccines. Certain immunocompromised individuals and people ages 50 years and older who received an initial booster dose at least four months ago are eligible for another booster to increase their protection against severe disease […]

PHE extended for another 90 days

The Department of Health and Human Services has extended the Public Health Emergency (PHE) due to COVID-19 for an additional 90 days. The PHE has been renewed on a quarterly bases since it was first implemented in January 2020. The latest renewal will take the PHE into mid-summer, with a new end date on July […]

Updated CMS vaccine mandate guidance stresses contractor compliance

Make sure contracted staff are compliant with CMS’ vaccine requirement and that these contractors can provide proof of vaccination. CMS updated its guidance to surveyors on Tuesday, April 5, 2022, making it clear that contractor compliance is a high priority during survey reviews of vaccine documentation. The new guidance notes that surveyors should review the […]

CMS updates HHVBP FAQ for April

CMS is providing more resources for agencies as it prepares for implementation of the national rollout of the Home Health Value-Based Purchasing (HHVBP) model beginning in 2023. In a message to providers April 7, 2022, CMS highlighted updates to its HHVBP Frequently Asked Questions, with the FAQ growing to 45 pages. Among the new and […]