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
The Georgia Department of Community Health (“DCH”) board recently introduced proposed updates to long-term care facility standards, impacting background check requirements, care models for at-risk youth, and staffing...more
2/27/2025
/ Assisted Living Facilities (ALFs) ,
Change of Ownership ,
Health Care Providers ,
Healthcare ,
Healthcare Facilities ,
Healthcare Workers ,
Medicaid ,
Mental Health ,
Nursing Homes ,
Proposed Rules ,
Regulatory Requirements ,
Skilled Nursing Facility ,
Therapeutic Services
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
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
Continuing the theme of increased transparency of ownership of nursing homes included in the 2010 Affordable Care Act, the White House issued a Fact Sheet titled “Protecting Seniors and People with Disabilities by Improving...more
3/9/2022
/ Affordable Care Act ,
Assisted Living Facilities (ALFs) ,
Biden Administration ,
Business Ownership ,
Centers for Medicare & Medicaid Services (CMS) ,
Change in Ownership ,
Department of Health and Human Services (HHS) ,
Elder Care ,
Health and Safety ,
Health Care Providers ,
Healthcare ,
Healthcare Reform ,
Long Term Care Facilities ,
Medicaid ,
Medicare ,
Nursing Homes ,
Private Equity ,
REIT ,
Transparency
A group of individuals with ties to the nursing home industry recently published a commentary in the journal Health Affairs and opined that complex ownership structures used by many nursing home operators make it difficult to...more
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
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
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
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
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
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
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
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on September 5, 2019, intended to address program integrity and vulnerability issues....more
The Government Accountability Office (GAO) recently released a report entitled “Medicaid Assisted Living Services: Improved Oversight of Beneficiary Health and Welfare is Needed.” The report, released on February 5, 2018,...more
The U.S. Department of Health and Human Services, Office of Inspector General (OIG) issued the Medicaid Fraud Control Units Fiscal Year 2016 Annual Report in May 2017. The Annual Report is based on analysis of statistical...more
The Centers for Medicare & Medicaid Services (CMS) has implemented a revised payment system for Long-Term Care Hospitals (LTCHs). The changes, which became effective on October 1, define two separate payment categories for...more
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