Tag: CMS

CMS releases CHART Model funding, rural communities encouraged to apply

CMS released a Notice of Funding Opportunity (NOFO) for the Community Health Access and Rural Transformation (CHART) Model Community Transformation Track on September 15. The Community Transformation Track will award up-front seed money for healthcare providers in up to 15 rural communities across the nation. For more information about the NOFO or the CHART Model, […]

Twice-weekly staff testing to be required for select SNFs

COVID-19 staff testing will be required twice-weekly at SNFs in 801 counties across the country under new federal regulations. CMS released a list of infection rates by county last week that will be used to determine the required frequency of staff testing. All facilities located in “red” counties will require tests twice-weekly, while facilities in […]

Early PDGM data reveal surprising findings about agency behavior

Data from a recent study of Medicare home health cost reports supports the case that the home health industry didn’t respond with the behavioral adjustments that CMS predicted prior to PDGM. And agencies have experienced increased challenges due to the public health emergency (PHE) that CMS should consider when finalizing the 2021 payment rule. The […]

CMS releases additional FAQs on COVID-19 relief payments

CMS released additional Frequently Asked Questions (FAQs) for Medicare providers regarding the Department of Health and Human Services’ (HHS) Provider Relief fund and Small Business Administration’s Paycheck Protection Program payments. These are also commonly referred to as “coronavirus disease 2019 (COVID-19) relief payments.” These FAQs cover how to report provider relief fund payments, uninsured charges […]

FAQs about the Home Health PPS Grouper software released by CMS

CMS recently posted a set of Frequently Asked Questions (FAQs) for Home Health PPS Grouper Software. The Home Health Grouper, released Aug. 7, contains acceptable primary diagnoses and the high comorbidity and low comorbidity adjustments for the new FY2021 codes — set to take effect Oct. 1. The FAQs include several questions about the grouper’s […]

CMS implements new COVID-19 testing requirements for SNFs

CMS implemented stricter COVID-19 testing requirements for nursing homes on August 25. Routine staff testing, which was previously just recommended, is now a requirement for participation for Medicare and Medicaid. The required frequency of staff testing will be based on the degree of community spread surrounding a facility. Further guidance on frequency of testing will […]

Recent bulletin aims to keep older adults at home in rural areas

A recently released bulletin provides state agencies and other interested stakeholders with information about available federal resources that may help patients in rural areas remain in their homes. The bulletin was a joint effort by the Centers for Medicare & Medicaid Services (CMS), the U.S. Department of Housing and Urban Development (HUD), the U.S. Department […]

Routine inspections to resume at nursing homes

CMS announced August 17 that routine inspections will resume for all Medicare and Medicaid certified providers and suppliers. Onsite revisit surveys, non-immediate jeopardy complaint surveys and annual recertification surveys will resume as soon as resources are available. CMS has also provided guidance on resolving enforcement cases that were previously on hold due to survey reprioritization […]

Trump Administration issues over $15 million in fines to nursing homes during pandemic

CMS, under the leadership of the Trump Administration, has issued over $15 million in fines to more than 3,400 nursing homes during the COVID-19 pandemic for noncompliance with infection control requirements and the failure to report COVID-19 data. “The Trump Administration is taking aggressive enforcement action against Medicare and Medicaid certified nursing homes that fail […]

CMS enacts penalty for delayed RAP submission

CMS has released change request 11855, on July 31, 2020, to implement the calendar year 2021 home health Request for Anticipated Payment (RAP) payment policies. The change request imposes a penalty for delayed RAP submission implementation. Specifically, a non-timely submission payment reduction will occur  “when the home health agency does not submit the RAP within […]