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Nursing Home Rules and Regulation

Information about rules and regulations for nursing home communities.


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Skilled Nursing Facilities: CMS Issues Final Rule on 2016 Medicare Payment Rates

On August 4, 2015, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for skilled nursing facilities' Medicare payment rates in fiscal 2016. The rule includes value-based purchasing provisions for skilled nursing facilities, based on a hospital readmission measure. It also implements the quality reporting requirements of the 2014 IMPACT Act and the Affordable Care Act's requirement that nursing homes submit payroll-based staffing data. The rule is effective on October 1, 2015, except for the staffing data collection provisions, which go into effect July 1, 2016.

Final Overpayment Rule Delayed by CMS Until 2016

In a Federal Register notice published on Feb. 17, the Centers for Medicare and Medicaid Services (CMS) announced that it would be delaying until Feb. 16, 2016, publication of a final rule governing the reporting and returning of Medicare overpayments.

MedPAC Shifts View of 3-Day SNF Requirement

On September 12th, the Medicare Payment Advisory Commission (MedPAC) held a meeting on hospital short stays. During this meeting, Chairman Glenn M. Hackbarth recommended that the 3-day stay requirement be eliminated from the Medicare benefits package.

DEA Reschedules Hydrocodone from Schedule 3 to Schedule 2

Hydrocodone combination products have been rescheduled from schedule 3 to schedule 2 of the Controlled Substances Act effective Oct. 6, 2014, according to a final rule published on Aug. 22 by the the Drug Enforcement Administration (DEA). LeadingAge is continuing to work with other stakeholders to resolve the problems nursing care members are experiencing with timely resident access to pain medications.