Tag: CMS

CMS sets expectations for how states (and providers) should spend new HCBS funding

CMS has issued guidance to states on how it expects officials to administer new federal spending for home and community-based services (HCBS). The guidance also suggests how agencies should spend the money if they end up benefiting from this new federal aid. Up to $11.4 billion in funding was included in the American Rescue Plan […]

New LTC vaccine rules from CMS should be on your radar

CMS has released an interim final rule that sets COVID-19 vaccine requirements for long-term care (LTC) facilities and intermediate care facilities for individuals with intellectual disabilities (ICFs-IID). The changes to the Conditions of Participation (CoPs) for those facilities primarily require vaccines to be offered to residents, clients and staff when available. They also set education and CDC reporting […]

CMS increases Medicare payment for COVID-19 monoclonal antibody infusions at home

CMS has increased the Medicare payment rate for administering monoclonal antibodies to treat beneficiaries with COVID-19, continuing coverage under the Medicare Part B COVID-19 vaccine benefit. Beneficiaries pay nothing out of pocket, regardless of where the service is furnished – including in a physician’s office, health care facility or at home, CMS states in the […]

Free Webinar | Post-COVID Compliance Issues for SNFs

Sponsored by: IntelyCare and Vocera As SNFs see less COVID cases in their facilities, and CMS returns its focus to “normal” operations, providers need to transition as well. COVID waivers are sunsetting and compliance tasks that have been put on the backburner need to be focused on now. Phase 3 of the Mega Rule went into […]

CMS updates agencies on Care Compare, OASIS-E

CMS recently updated home health agencies about changes they can expect this summer on the Care Compare site, along with additional training planned around the OASIS-E delay. The update came during an open door forum call with providers April 13. With the July 2021 refresh, five home health measures will be removed from Care Compare, […]

CMS proposes hospice rule changes to rates, CoPs, quality measures

CMS released several proposed rules late Thursday, including the FY 2022 Hospice Payment Rate Update. “Despite the continuing public health emergency (PHE) generated by COVID-19, the Centers for Medicare & Medicaid Services (CMS) is pushing forward with significant changes for hospice,” the National Association for Home Care and Hospice noted in its initial analysis of […]

CMS updates QRP and VBP programs for FY2022

On April 8, 2021 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1746-P) that provides updates to and proposals for the fiscal year (FY) 2022 Skilled Nursing Facility Quality Reporting Program (SNF QRP).  This rule includes two new measure proposals: the Skilled Nursing Facility (SNF) Healthcare-Associated Infections (HAI) Requiring Hospitalization Measure and […]

CMS updates emergency preparedness survey guidance and pandemic best practices

CMS released updated guidance for surveyors related to emergency preparedness requirements on Friday, March 26, incorporating changes to the rules in recent years and lessons learned from the pandemic. The “Updated Guidance for Emergency Preparedness – Appendix Z of the State Operations Manual” detailed changes made through the Burden Reduction Rule (84 FR 51732) in […]

CMS releases updated Medicare COVID-19 snapshot

Updated COVID-19 snapshot data reveals that more than 2.7 million Medicare beneficiaries were diagnosed with COVID-19, and nearly 700,000 beneficiaries were hospitalized with COVID-19, between January 1, 2020 to December 26, 2020. Highlights from the latest snapshot include: Since the last snapshot released in January 2021, COVID-19 cases increased by more than 790,000 and hospitalizations […]

CMS announces higher payment for administering COVID-19 vaccines

CMS has announced increased payment rates for administering the COVID-19 vaccines. “This new and higher payment rate will support important actions taken by providers that are designed to increase the number of vaccines they can furnish each day, including establishing new or growing existing vaccination sites, conducting patient outreach and education, and hiring additional staff,” […]