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
Effective Date for Enrollment ID/RC Assessments for Individuals in the Home and Community-based Services and Texas Home Living Programs
Information Letter Number: 17-29 The initial effective date of an enrollment ID/RC Assessment for an individual who is enrolled in the Home and Community-based Services or Texas Home Living Program on or after January 1, 2018 will be the same as the effective date of the individual’s initial individual plan of care (IPC). This change is being made to simplify the renewal process for an individual’s ID/RC Assessment and IPC. So if an initial IPC is authorized by HHSC with an effective date … [Read more...] about Effective Date for Enrollment ID/RC Assessments for Individuals in the Home and Community-based Services and Texas Home Living Programs
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
ALF’s- Resolution of an Immediate Threat of Harm During an On-site Inspection
Provider Letter 17-36 ? If there's an Immediate Threat of Harm to the health and safety of residents at an Assisted Living Facilities during an On-site Inspection HHSC is authorized by HSC §247.042 to suspend the facility’s license or immediately close the facility. The inspector will conclude the review if, after reviewing documentation and reviewing sufficient evidence, the inspector determines that the residents are no longer at risk of serious injury, impairment or death. According to the … [Read more...] about ALF’s- Resolution of an Immediate Threat of Harm During an On-site Inspection
Abuse & poor quality care rate in Texas nursing homes is nearly four times the national average
Many nursing homes have hired Certified Nurse Aides with criminal histories legally. Using data from the federal Centers for Medicare and Medicaid Services, it has been discovered that the patient abuse rate in Texas nursing homes is nearly four times the national average. 25% of the state's 1,200 long-term care centers have been cited for serious standard deficiencies- According to reports by the AARPIn Texas, there are many nurse aides in nursing facilities that have criminal … [Read more...] about Abuse & poor quality care rate in Texas nursing homes is nearly four times the national average
(CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs)
Provider Letter 17-35 DADS released the latest Provider Letter 17-35 – Determination of Separate Entities which replaces PL 01-46 & PL 02-05 for Medicare Certified Home and Community Support Service Agencies. The letter details that the Centers for Medicare and Medicaid Services (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs) for all clients being served by the agency, regardless of a client’s payment source. The … [Read more...] about (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs)
Texas lawmakers approve major nursing home quality reforms
According to reports, the 2017 Texas regular legislative session made vast changes affecting older Texans. Lawmakers approved several top priorities for AARP Texas including bills that, among other things, will protect seniors’ financial future, improve access to health care, and help unpaid family caregivers and their families.Also included was major nursing home quality reforms that seek to hold operators of nursing homes and other long-term care facilities more accountable when they have been … [Read more...] about Texas lawmakers approve major nursing home quality reforms
The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements
Provider Letter No. 17-32 - DADS latest provider letters addressed to the Medicare and Medicaid Certified Nursing Facilities (NFs), Medicare-Certified Home Health and Hospice Agencies, and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICFs/IID) all must comply with new federal emergency preparedness Requirements for Participation, including training and testing program requirements, by November 15, 2017. The NF's are a required to … [Read more...] about The Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Requirements
CMS cancels planned Home Health Groupings Payment Model, announces new rule
CMS announced in a rule that it would not move forward with the Home Health Groupings Model. These regulations are effective on January 1, 2018. According to CMS, this final rule updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2018. The … [Read more...] about CMS cancels planned Home Health Groupings Payment Model, announces new rule
Report: Forecasting the growth prospect of the global long-term care market
There are more than 1,200 long-term care centers in Texas and according to the Administration on Aging, over 70 percent of people turning age 65 can expect to use some form of Long term care in their lives. Long-term care in the US has been based on but not limited to nursing homes, and facility-based long-term care that includes services such as continuing care retirement communities, assisted living, and board-and-care home. Long term care is not medical care but serves the purpose of … [Read more...] about Report: Forecasting the growth prospect of the global long-term care market