Provider Letter PL 18-05 (ALF) This letter describes procedures related to enforcement of accessibility standards during initial Life Safety Code (LSC) inspections for Assisted Living Facilities. 2.0 Policy Details Senate Bill 1049, 85th Legislature, 2017 added §247.0264 to Texas Health and Safety Code, Chapter 247, that affirms the role of the Texas Department of Licensing and Regulation (TDLR) in the interpretation and enforcement of accessibility standards in assisted living … [Read more...] about Accessibility Standards in Assisted Living Facilities
Amended Nursing Peer Review Committee (NPRC) Requirements and a State Agency’s Duty to Report
PL 18-06 - Long-Term Care Regulatory Provider Letter (PL) The Texas Health and Human Services Commission released the provider letter to nursing providers (ALF, DAHS, HCSSA, ICF/IID, and Nursing Facilities) the letter details that House Bill (HB) 3296, 85th Legislature, Regular Session, 2017, amended Texas Occupations Code §303.0015, regarding the establishment of a NPRC. Additionally, this letter clarifies the process a surveyor from the Texas Health and Human Services Commission (HHSC) … [Read more...] about Amended Nursing Peer Review Committee (NPRC) Requirements and a State Agency’s Duty to Report
American Health Care Association/National Center for Assisted Living Announce Quality Improvement Goals for Nursing Providers
The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) issued quality improvement goals for skilled nursing providers in long term and post-acute care. The goals, aligned with the priorities of the Centers for Medicare & Medicaid Services and federal mandates, were identified to improve care delivery during the next three years. According to reports: The goals outlined by the AHCA and NCAL include: --Safely reduce long- and short-stay hospitalizations by … [Read more...] about American Health Care Association/National Center for Assisted Living Announce Quality Improvement Goals for Nursing Providers
Elderly patients at risk at Nursing homes that overmedicate
National reports by Human rights advocates say that nursing homes are overprescribing antipsychotics to patients. According to the latest data from the federal Centers for Medicare & Medicaid Services, known as CMS, the percentage of long-term nursing home residents being given antipsychotic drugs dropped from about 24 percent in late 2011 to under 16 percent last year. Yet advocacy groups reveal that misuse of drugs remains a major problem in nursing facilities. The findings outlined in a … [Read more...] about Elderly patients at risk at Nursing homes that overmedicate
Government’s two-year spending plan includes $1.9 billion Nursing home cuts
According to reports, nursing home cuts will freeze skilled nursing facilities' share of the “market basket” at a 2.4% increase in October. The Congressional Budget Office (CBO) had previously projected a 2.7% hike, though the final rate won't be set until CMS announces its proposed rules for 2019. The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) President and CEO Mark Parkinson issued the following statement regarding the Senate budget proposal: “We are … [Read more...] about Government’s two-year spending plan includes $1.9 billion Nursing home cuts
New Hospice Care Law allows Physician Assistants to manage Hospice care for Medicare Patients
Beginning on Jan. 1, 2019, physician assistants can now supervise cardiac and pulmonary rehabilitation programs under the Medicare program as well as provide and manage Hospice care for terminally ill Medicare patients. The extended medical privileges for physicians assistants could benefit Medicare beneficiaries who live in medically underserved and rural communities, where a PA might be the only available medical professional to provide some services, according to news reports. According to … [Read more...] about New Hospice Care Law allows Physician Assistants to manage Hospice care for Medicare Patients
Health and Human Services Commission (HHSC) adopted new rules for Disabled Patients
Provider Letter 18-04 The new rule describes the requirement of a facility to allow a resident to use a wheelchair self-release seatbelt if the resident meets certain conditions. Addressed to providers including Assisted Living Facilities (ALFs), Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID), and Nursing Facilities (NFs). The new rules implement §322.0515, Texas Health and Safety Code, as added by House Bill (HB) 284 of the 85th … [Read more...] about Health and Human Services Commission (HHSC) adopted new rules for Disabled Patients
CMS proposed adding non-skilled in-home care as a supplemental benefit to Medicare Advantage plans in 2019.
CMS is adding flexibility to their expansion of benefits by redefining health-related supplemental benefits to include services that increase health and improve quality of life, including coverage of non-skilled in-home supports and more. Hospice care and palliative care are considered as well as supplemental benefits down the road. Benefits will only be available to some of the participants of Medicare Advantage plans. These benefits will not be extended to original Medicare. Supplemental … [Read more...] about CMS proposed adding non-skilled in-home care as a supplemental benefit to Medicare Advantage plans in 2019.
Medicare program’s penalty protocols for Nursing homes change under Trump Administration
In 2016, the nursing home industry requested the change in the Medicare program's penalty protocols and now, according to reports, a new policy from the Trump administration will roll back fines against nursing homes cited for mistreatment or neglect. The New York Times research found that nearly 6,500 nursing homes in the U.S. have received at least one citation for a serious violation since 2013 and about two-thirds of those have been fined by Medicare.According to this New York Times excerpt … [Read more...] about Medicare program’s penalty protocols for Nursing homes change under Trump Administration
Enforcement of Obama-era nursing home standards and enforcement remedies halted by CMS
CMS halts enforcement of some standards required by nursing homes that would enhance safety procedures for patients. In this notice: Temporary Enforcement Delays for Certain Phase 2 F-Tags and Changes to Nursing Home Compare posted late last month, the CMS announced an 18-month moratorium on enforcement remedies in some nursing home regulation that was finalized last year.Memorandum Summary from CMS Inlcuded:Temporary moratorium on imposing certain enforcement remedies for specific Phase 2 … [Read more...] about Enforcement of Obama-era nursing home standards and enforcement remedies halted by CMS
