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SNF Off-Cycle CMS-855A Reporting Delayed to August 1, 2025

Mandatory Medicare reporting for skilled nursing facilities (“SNFs”) has been delayed to August 1, 2025, to the relief of many in the industry. As a reminder, the Centers for Medicare & Medicaid Services (“CMS”) required the...more

CMS Announces the Innovation in Behavioral Health Model

Overview - The Centers for Medicare & Medicaid Services (“CMS”) is launching a new model aimed at improving the quality of care and health outcomes for individuals with behavioral health (“BH”) problems. The model, announced...more

HHS Extends ARP Spending Deadline to March 31, 2025 for HCBS Medicaid Recipients

States now have through March 31, 2025 to use the federal medical assistance percentage (FMAP) funding made available by the American Rescue Plan Act (ARPA). The announcement was made by the U.S. Department of Health and...more

HHS Continues to Release Limited Provider Relief Fund FAQs

While the release of Provider Relief Fund Frequently Asked Questions (FAQs) has dwindled in the last month, the Department of Health & Human Services (HHS) has continued to issue new FAQs on a more limited basis. On December...more

Yes, Provider Relief Funding Can Be Used to Cover COVID-19 Vaccination Costs

As long-term care facilities and other health care providers turn their attention and efforts to COVID-19 vaccination, many have inquired about the ability to use Provider Relief Funding (“Funding”) for vaccine-related costs....more

Phase 3 Funding FAQs Provide Additional Clarity to Funding Opportunities

Many providers have been eagerly awaiting more information related to the new Phase 3 Funding opportunity, which the Department of Health & Human Services (HHS) announced on October 1, 2020. After a few days of silence...more

HHS to Release Provider Fund Distribution to Private-Pay ALFs, but Action Needed by September 13

Private-pay assisted living providers may be able to take a sigh of relief as they can now submit an application for the $18 Billion Phase 2 General Distribution. On September 1, the Department of Health & Human Services...more

Deadline Extended for Medicaid Provider Relief Fund Application, but Action Needed Now

The Department of Health & Human Services (HHS) extended the application deadline for the Medicaid tranche of Provider Relief Funds.  The deadline, which was July 20, 2020, has been extended to Monday, August 3, 2020.  ...more

Welcome Relief for Medicaid Providers, but Action Required by July 3, 2020

Provider relief funds have been distributed primarily to Medicare-certified programs to date. Medicaid providers that do not participate in Medicare are bearing most if not all of the same expenses and losses as Medicare...more

Nuances are the Norm: Acquisitions of IDD Providers

Intellectual and developmental disabilities (IDD) providers fill a critical need in our communities and around the country. ...more

CMS Proposes Regulations that Would Have Significant Financial Impact on CCRCs

In November 2019, the Centers for Medicare & Medicaid Services proposed the Medicaid Fiscal Accountability Regulation (MFAR), a set of regulations targeted at promoting financial integrity in state Medicaid programs. ...more

Senators Ask GAO for Assisted Living Medicaid Report

U.S. Senators Elizabeth Warren (D-MA), Susan Collins (R-ME), Claire McCaskill (D-MO), and Orrin Hatch (R-UT) requested in a letter dated July 8, 2015 that the U.S. Government Accountability Office (GAO) undertake a review of...more

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