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Medicaid › Medicare › Long-Term Care

Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +
Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with children.  less -
Offit Kurman

Why Caregiving Matters More Than Ever in America

Offit Kurman on

When Bradley Cooper released his new PBS documentary “Caregiving,” he didn’t just share a deeply personal narrative, he opened the door to a long-overdue national reckoning. His story of bathing his father, of holding his...more

McGuireWoods Consulting

Medicaid Cuts And Seniors

McGuireWoods Consulting on

Many individuals do not think about how the Medicaid program affects older adults. Rather, Medicare and Social Security are at the top of the list. While these programs support seniors, Medicaid also plays a crucial role,...more

Arnall Golden Gregory LLP

AGG Talks: Home Health & Hospice Podcast - Episode 8: Hospice Special Focus Program: Pumping the Brakes

Arnall Golden Gregory LLP on

In this episode, AGG Healthcare attorneys Bill Dombi and Jason Bring discuss the hospice special focus program and CMS’ announcement that it will cease implementing the program in the face of litigation filed by providers and...more

Sheppard Mullin Richter & Hampton LLP

Building a Smarter Long-Term Care System in New York

Sheppard Mullin Richter & Hampton LLP on

New York State has a long-standing commitment to supporting its most vulnerable populations through Medicaid-funded services for older adults and those requiring long-term care. However, rising costs and an increasingly...more

ArentFox Schiff

Massachusetts Senior Living Facilities Legislative and Regulatory Fall 2024 Update

ArentFox Schiff on

How Massachusetts senior living providers need to be thinking about the recently enacted Long Term Care Reform Law and a recent Centers for Medicare & Medicaid Services audit of nursing homes....more

Baker Donelson

What the Supreme Court's "Chevron Deference" Ruling Could Mean for Health Care Law

Baker Donelson on

Baker Donelson recently published Anticipating SCOTUS Ruling on Chevron Deference – What to Know and Five Ways to Prepare explaining the United States Supreme Court's upcoming ruling which is expected to impact the regulatory...more

Maynard Nexsen

Federal Long Term Care Staffing Mandates:  Impacts on Facilities Across the Country and in Alabama

Maynard Nexsen on

On May 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published its controversial final rule imposing minimum staffing requirements for long term care facilities (the “Final Rule”). When it takes effect on June...more

Epstein Becker & Green

CMS Finalizes Rule Establishing Minimum Staffing Standards for Long-Term Care Facilities

Epstein Becker & Green on

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting,...more

Ballard Spahr LLP

CMS Final Rule Cranks Up Staffing Requirements at Long-Term Care Facilities

Ballard Spahr LLP on

A final federal rule raising minimum staffing requirements for long-term care (LTC) facilities that receive Medicare or Medicaid funding becomes effective June 21, starting a staggered timeline for LTCs to create and...more

McDermott+

Healthcare Preview for the Week of: April 15, 2024

McDermott+ on

While congressional debate and action will focus on aid to Israel this week, committees will continue to move forward their health agendas via hearings. The House Energy and Commerce Committee hearing on the Change Healthcare...more

Sheppard Mullin Richter & Hampton LLP

The PACE Solution to Increasing Demands for Long-Term Services and Supports in the U.S.

Sheppard Mullin Richter & Hampton LLP on

As individuals continue to live longer beyond retirement and the U.S. population size of those 65 years and older continues to increase, the demand for long-term services and supports (“LTSS”) is also expected to increase....more

McDermott Will & Schulte

With New Facility Staffing Expectations, CMS Proposes Sea Change for Long-Term Care Industry

McDermott Will & Schulte on

In February 2022, US President Joseph Biden announced an overhaul of regulations affecting nursing homes. These reforms, aimed at enhancing the safety and quality of care for nursing-home residents, focus on improving...more

Troutman Pepper Locke

Another Critical Item for Long-Term Care Facilities to Add to Their To-Do List — New Staffing Mandates

Troutman Pepper Locke on

On September 1, the Centers for Medicare & Medicaid Services (CMS) released the Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting proposed rule. This...more

Holland & Knight LLP

CMS Proposes Minimum Staffing Standards for Long-Term Care Facilities

Holland & Knight LLP on

The Centers for Medicare & Medicaid Services (CMS) published a proposed rule on Sept. 1, 2023, that, if finalized, would impose minimum staffing standards for long-term care facilities participating in Medicare or Medicaid....more

King & Spalding

CMS Issues IPPS and LTCH PPS Final Rule for FY 2024

King & Spalding on

On August 1, 2023, CMS issued its annual Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule for FY 2024 (the Final Rule). In the Final Rule, CMS,...more

Alston & Bird

Health Care Week in Review: Congress Raises Debt Ceiling, CMS Issues Final Rule

Alston & Bird on

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

Baker Donelson

Fundamentals of CMS Updates to Appendix PP of the State Operations Manual: Admission, Transfer, and Discharge Rights

Baker Donelson on

F622: Transfer and Discharge Requirements - CMS has placed a new focus on ensuring that residents remain in the facility of their choosing. CMS does this in two ways: 1) by emphasizing that a resident has a "right" to remain...more

Sheppard Mullin Richter & Hampton LLP

CMS Adopts Major Changes to LTC Facility Surveyor Guidance

Sheppard Mullin Richter & Hampton LLP on

On June 29, 2022, the Centers for Medicare and Medicaid Services (CMS) announced it issued significant changes to surveyor guidance for Long Term Care (LTC) facility health, quality and safety standards....more

Shumaker, Loop & Kendrick, LLP

New Nursing Home Regulations are on the Horizon

Shumaker, Loop & Kendrick, LLP on

On February 28, President Biden announced that the Department of Health and Human Services (HHS) will be issuing new regulations for nursing homes. HHS will be issuing regulations through the Centers for Medicare & Medicaid...more

Mintz - Health Care Viewpoints

Building on the Success of Medicare-Medicaid Plans, CMS Proposes Modifications for D-SNPs

Mintz - Health Care Viewpoints on

As we noted, Centers for Medicare & Medicaid Services (CMS) recently proposed its Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs rules (Proposed...more

Baker Donelson

A Primer for Lending on Governmental Health Care Receivables

Baker Donelson on

While the best asset to have is cash, the next best assets to have are accounts receivable, which are the right to payment for services rendered or goods provided. In the health care industry, receivables are the right to...more

Bradley Arant Boult Cummings LLP

What’s Next for Long Term Care? Waivers, Laws and Regulations and the Next Chapter of the COVID-19 Pandemic

Bradley Arant Boult Cummings LLP on

For health care providers, particularly long term care providers, COVID-19 has brought unprecedented challenges. In response to those challenges, both the federal and state governments have responded over the course of the...more

Poyner Spruill LLP

CMS Imposes New COVID-19 Vaccine Immunization Requirements for Nursing Homes

Poyner Spruill LLP on

Effective May 21, 2021, both Medicare skilled nursing facilities (“SNFs”) and Medicaid nursing facilities (“NFs”) (collectively “nursing homes”) became subject to revised requirements of participation regarding infection...more

King & Spalding

CMS Issues Medicare IPPS and LTCH Proposed Rule for FY 2021

King & Spalding on

On April 27, 2021, CMS issued the fiscal year (FY) 2022 proposed rule for the hospital inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (the Proposed Rule). Among...more

Chambliss, Bahner & Stophel, P.C.

A Long-Term Care Strategy That Provides More Than Hope

Chambliss, Bahner & Stophel, P.C. on

Growing up, my parents would frequently reiterate that hope is not a strategy. Although I did not always adhere to this guidance, their mantra has been confirmed more often than not. As my family is currently structuring...more

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