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CMS Reminds Providers and Suppliers of Reporting Requirements

The Centers for Medicare & Medicaid Services (CMS) recently released a new Medicare Learning Network “MLN Matters” education document to remind applicable providers and suppliers about the need to timely report provider...more

OIG Issues FY 2016 Annual Report of the Medicaid Fraud Control Units

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

CMS Proposes Delaying Implementation of New Home Health Agency CoPs

On January 13, 2017, the Centers for Medicare & Medicaid Services (CMS) published a final rule revising the conditions of participation (CoPs) for home health agencies to participate in and qualify for the Medicare and...more

Expansion of Medical Cannabis Bill to Impact Senior Housing Communities and Other Georgia Post-Acute Providers

During its most recent session, the Georgia legislature passed SB16, expanding Georgia’s Medical Cannabis Bill, “Haleigh’s Hope Act” (the “Act”), which legalized the possession of low THC oil for individuals with certain...more

Georgia Law Requires Durable Medical Equipment Suppliers to be Licensed

On March 30, 2017, the Georgia State Senate voted to pass SB41, which amends the Georgia Pharmacy Practice Act, regulating the practice of pharmacy in the state of Georgia. After passing both the House and Senate, the bill is...more

2010’s Health Care Reform Refresher: Revisiting Day-to-Day Provider Obligations that Stem from the Patient Protection and...

President Donald Trump’s action to repeal 2010’s Patient Protection and Affordable Care Act (ACA) should not be a surprise. After all, President Trump, along with many other candidates for office, made repeal of the ACA a...more

California Department of Public Health Announces Change to Processing Office and Timeline for Facility Applications and Change...

Applications and change requests for all facilities licensed by the California Department of Public Health (CDPH) are being transitioned to the Centralized Applications Unit and may take upwards of six months to...more

CMS Adds New Quality Measures to Nursing Home Ratings

On August 10, 2016, the Centers for Medicare & Medicaid Services (CMS) announced that it has incorporated five new quality measures to the calculations for its nursing home Five-Star Quality Ratings. The five measures are now...more

CMS Revises Enrollment-Related Provisions in the Medicare Program Integrity Manual

The Centers for Medicare & Medicaid Services (CMS) made changes to important written guidance to Medicare providers by issuing a Change Request on June 24, 2016, to Chapter 15 of its Program Integrity Manual (titled “Medicare...more

MedPAC Opposes Medicare FY2017 Payment Increases for SNFs and Pushes for Payment Reform

The Medicare Payment Advisory Commission (MedPAC) issued a letter on May 25, 2016, commenting on the Centers for Medicare & Medicaid Services’ (CMS) proposed rule relating to payment updates for skilled nursing facilities...more

OIG Issues Report on Enhanced Medicare Screening

After reviewing Medicare and Medicaid enrollment and revalidation applications, the U.S. Department of Health & Human Services, Office of Inspector General (OIG) issued a report titled Enhanced Enrollment Screening of...more

Tennessee Governor Signs Certificate of Need Changes into Law

Tennessee’s governor, Bill Haslam, has signed legislation that will significantly change the state’s certificate of need (CON) laws. The changes include revised requirements for multiple services regulated by CON, including...more

CMS Begins Cycle 2 of Provider/Supplier Enrollment Revalidation

The Centers for Medicare & Medicaid Services (CMS) Division of Enrollment Operations is beginning Cycle 2 of the provider and supplier revalidation process, as required under Section 6401 (a) of the Affordable Care Act. CMS...more

Georgia General Assembly Once Again Considered CON Repeal

A bill introduced last week in the Georgia General Assembly sought to eliminate the state’s Certificate of Need (“CON”) program, which has been in place since 1979. The CON program’s goals are: “(1) to measure and define...more

Utah Proposal Legislation Would Allow Security Cameras within Assisted Living Rooms

On February 1, 2016, the Utah Legislature's House Health and Human Services Committee debated proposed legislation permitting an assisted living facility resident, or their representative, to install a video or audio...more

CMS Releases Home Health Compare “Patient Experience of Care” Star Ratings

In yet another move emphasizing the Centers for Medicare & Medicaid Services’ (CMS) focus on quality health care, the agency has released the first patient experience of care star ratings on Home Health Compare. ...more

CMS Implements Changes to Prospective Payment System for Long-Term Care Hospitals

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

Massachusetts Proposes New Rules for Nursing Home Sales and Closures

Massachusetts regulators recently announced new rules that, if adopted, will change the requirements for nursing home sales and closures in the state. The proposed new rules require nursing home owners intending to sell a...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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