CDC NHSN HCP & Resident Vaccination Module

Long-term care facilities can track weekly vaccination data for residents and healthcare personnel (HCP) through NHSN. April 2024 Updates Person-Level COVID-19 Vaccination Forms – Instructions and Guidance Documents INSTRUCTIONS FOR REPORTING PERSON-LEVEL VACCINATION DATA Person-Level COVID-19 Vaccination Data – CSV Data Import VARIABLE DESCRIPTION AND FILE LAYOUT FOR RESIDENTS AND …

FY 2026 SNF VBP Program Early Look Performance Score Reports

The Early Look Performance Score Reports for the FY 2026 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). Beginning in the FY 2026 Program year, the SNF VBP Program is expanding to assess performance on multiple quality measures rather than a single measure. …

CMS Minimum Staffing Rule and Medicaid Rules Released

Biden-Harris Administration Takes Historic Action to Increase Access to Quality Care, and Support to Families and Care Workers Nursing home minimum staffing standards promote resident care and safety  Medicaid and CHIP to have historic access standards, advance fair compensation for direct care workers The U.S. Department of Health and Human …

5-Star Help Line Available Through April 26

The Five Star Preview Reports will be available on or around April 17, 2024. Provider Preview Reports have moved to iQIES as of August 2023. Please follow the steps below to locate the Provider Preview Report in iQIES: 1) Log into iQIES at https://iqies.cms.gov/ using your Health Care Quality Information Systems (HCQIS) …

CDC: COVID-19 Vaccination of Nursing Home Residents, and Rates of SARS-CoV-2 Infection/Hospitalization

COVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024 Weekly / April 18, 2024 / 73(15);339–344 Summary What is already known about this topic? Nursing home residents are at increased risk for severe COVID-19. …

FY 2024 PDPM Grouper Update

The “PDPM Grouper JAR Package V2.2002.zip” is now available. This release was updated to support corrections to the Fiscal Year (FY) 2024 Patient Driven Payment Model (PDPM) International Classification of Diseases (ICD)-10 code mapping for the purposes of resident classification under the PDPM for Medicare Part A Skilled Nursing Facility …

FY 2024 PDPM ICD-10-CM Mappings File Updated

From https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/list-federal-regulations/cms-1779-f2 Note: Typically, this file is posted at https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model

FY2024 ICD-10 Codes Database for Item I0020B Updated

The Microsoft Access database containing the International Classification of Diseases (ICD)-10 codes allowed for item I0020B has been updated to reflect changes occurring soon with PDPM V2.2002. The new tables added should be treated as retroactive for FY2024. Please review the README.TXT included in the ZIP file From https://www.cms.gov/medicare/quality/nursing-home-improvement/minimum-data-set-technical-information

Medicare Advantage Final Rule Includes Expedited Determination Process Changes for SNFs

See the section “Enhance Enrollees’ Rights to Appeal a Medicare Advantage Plan’s Decision to Terminate Coverage for Non-Hospital Provider Services” for details on expedited determination changes for Medicare Advantage residents. Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F) On April 4, 2024, the Centers for Medicare & …

CMS Survey Process Notice: Testing Risk-Based Survey Approach

Update: April, 2024 CMS consistently strives to improve the effectiveness and efficiency of our nursing home oversight and compliance programs to protect residents’ health and safety. In 2017, CMS implemented a new nursing home survey process across all states, in conjunction with the implementation of revised Requirements for Participation for …