TIP: NOW AVAILABLE: Draft MDS 3.0 RAI User’s Manual version 1.19.1

The draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.19.1 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.19.1 will be effective beginning October 01, 2024. This version of …

TIP: Frequently Asked Questions (FAQ) Available from CDC Regarding Enhanced Barrier Precautions in Nursing Homes

Many are asking questions regarding Enhanced Barrier Precautions since the Centers for Medicare & Medicaid Services (CMS) released QSO-24-08-NH. The Center for Disease Control and Prevention have a webpage to answer some of those frequently asked questions. This AAPACN resource is copyright protected. AAPACN individual members may download or print …

TIP: CMS Released Early Look Performance Score Reports for the FY 2026 SNF VBP Program

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 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program is expanding to assess performance on multiple …

TIP: Center of Excellence for Behavioral Health in Nursing Facilities to Host Virtual Series

The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) will be hosting a virtual series of six monthly one-hour sessions starting in May 2024. Topics include: Further information and links to register can be found at the COE-NF website. This AAPACN resource is copyright protected. AAPACN individual members …

TIP: CMS Released a Correction to the PDPM Files for Oct. 1, 2024

The Centers for Medicare & Medicaid Services (CMS) announced corrections to the Patient-Driven Payment Model (PDPM) mapping files for I0020B, the primary diagnosis representing the reason for the skilled nursing home stay, which is also used to determine a resident’s clinical category assignment under PDPM. CMS released an update to …

TIP: CMS Released FAQs for MA Plan 2024 Final Rule  

The Centers for Medicare & Medicaid Services (CMS) issued a final rule that clarified Medicare Advantage (MA) coverage criteria for basic benefits, use of prior authorization, and the annual review of utilization management tools. While these changes became effective Jan. 1, 2024, CMS recently released a frequently asked questions document …

TIP: CMS Released Draft MDS Data Specifications Files for October 2024 Updates

In early March, the Centers for Medicare & Medicaid Services (CMS) released the MDS Data Specifications V3.02.0 (DRAFT). These draft files detail the following changes tentatively scheduled for Oct. 1, 2024: CMS also clarified that section S item additions are not present in this draft version but will be present …

TIP: Healthcare Personnel Influenza Vaccination Data Webinars

The Centers for Medicare & Medicaid Services (CMS) is now requiring all certified skilled nursing facilities to report healthcare personnel influenza data through the National Healthcare Safety Network (NHSN). The reporting period for this data is Oct. 1, 2023, through March 31, 2024, and must be submitted by May 15, …

TIP: OIG Provides Recommendations to CMS to Improve Care in Nursing Homes  

The Office of Inspector General (OIG), released the third and final report in a three-part series about the effects of the COVID-19 pandemic on nursing homes, Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes (OEI-02-20-00492). The report recommends that the Centers for Medicare & Medicaid Services …