Most of the changes in the MDS version 1.18.11 item sets and the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.18.11 are resident-driven, says Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, a curriculum development specialist with AAPACN. “More than ever, resident interviews are the primary source of MDS …
The guidance to surveyors in Appendix PP of the State Operations Manual addresses behavioral health education, training, and competencies under two separate F-tags: Did the facility have sufficient staff who provide direct services and implement non-pharmacological interventions to meet the behavioral health care needs of the resident, as determined by …
The key takeaway of the Fiscal Year (FY 2024) Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule, published on Aug. 7, 2023, is that the director of nursing services (DNS) will need to hit the ground running on Oct. 1, 2023, with a systematic, comprehensive, and interdisciplinary approach …
The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is a centralized hub where any Medicare- or Medicaid-certified nursing home can access trainings, tools, and …
An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in Fiscal Year (FY) 2024 and includes other useful resources available to providers. From https://www.cms.gov/files/document/fy2024-snf-qrp-faqs.pdf
Breathing room will be in short supply for nurse assessment coordinators (NACs) and other interdisciplinary team members who need to implement and monitor the multitude of changes to the Skilled Nursing Facility Quality Reporting Program (SNF QRP) and the Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP) that are in …
In the long-awaited Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposes a three-pronged, comprehensive staffing approach for Medicare- and Medicaid-certified skilled nursing facilities (SNFs) and nursing facilities (NFs): “Literature evidence [e.g., here, here, …
F740 (Behavioral Health Services) is not a frequently cited F-tag so far in calendar year (CY) 2023, according to QCOR data posted on Aug. 13, 2023. However, the consequences can be severe—surveyors often issue this citation at the level of immediate jeopardy (IJ) when it does occur. Specifically, F740 is …
In preparation for the upcoming Oct. 1, 2023, implementation of the also-just-updated v1.18.11v5 MDS item sets, the Centers for Medicare & Medicaid Services (CMS) has released the final Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual version 1.18.11 and a draft-to-final change table. Highlights of these revisions include the …
