Nursing Home Rules and Regulation
Information about rules and regulations for nursing home communities.
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.
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.
A senior official with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced that the forthcoming round of Health Insurance Portability and Accountability Act (HIPAA) audits will be used by OCR to launch investigations into whether providers and their business associates are complying with the HIPAA privacy and security rules.
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.
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.