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Tags Posts tagged with "CMS"

CMS

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The Centers for Medicare and Medicaid Services (CMS) recently released two reports focused on Long-Term Services and Supports (LTSS). The reports are the Medicaid Long-Term Services and Supports Annual Expenditures Report, Federal Fiscal Year 2020, and the Medicaid Section 1915 (c) Waiver Programs Annual Expenditures and Beneficiaries Report.

These reports provide information on the LTSS rebalancing trends and patterns in expenditures for different home and community-based services (HCBS) and institutional care, both nationally and across states.

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The Centers for Medicare and Medicaid Services (CMS) will conduct the hospital/quality initiative open door forum (ODF) tomorrow, September 6, 2023, at 2:00 pm. Some of the agenda topics for the call include:

  • FY 2024 Inpatient Prospective Payment System (IPPS)/Long-Term Care Hospital (LTCH) Final Rule:
    • IPPS Payment Updates
    • LTCH Payment Updates
    • Wage Index Proposals
    • Rural Emergency Hospital (REH) Graduate Medical Education (GME) Proposal
    • New Technology Add-on Payment Proposals
    • Social Determinants of Health
    • Physician-Owned Hospital Proposal
    • Quality Updates
    • Hospital Value-Based Payment (VBP) Updates
  • FY 2024 IPF PPS Final Rule
  • Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) Podcast Now Available — Updates to HCAHPS Survey Mode Adjustments
  • Hospital Outpatient Department (OPD) Prior Authorization — Facet Joint Interventions

NEW and UPDATED Open Door Forum Participation Instructions:
This call will be a Zoom webinar. To participate by webinar, register here. After registering, you will receive a confirmation email containing information about joining the webinar.

Webinar ID: 160 121 2402
Passcode: 860132

Note that, although the ODFs are now a Zoom webinar, we will only use the audio function. There is no need for cameras to be on.

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Image by StockSnap from Pixabay

The Centers for Medicare and Medicaid Services (CMS) has released a short, animated explainer video, “Social Determinants of Health Items: Determining When a Proxy Response is Allowed,” for inpatient rehabilitation facilities (IRF), home health (HH), and long-term care hospital (LTCH) providers. CMS developed this video to assist providers in accurately determining when the use of a proxy response is allowed for the following Social Determinants of Health (SDoH) items: A1005. Ethnicity, A1010. Race, A1110. Language, A1250. Transportation, B1300. Health Literacy, and D0700. Social Isolation.

If you have questions about accessing the resources or feedback regarding the trainings, please email the PAC Training Inbox. Content-related questions should be submitted to the HH QRP Help Desk, IRF QRP Help Desk, or the LTCH QRP Help Desk.

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The Office of Developmental Programs (ODP) has shared a flyer regarding ODP’s Division of Quality Management’s QM Spotlight, the sixth in a series of quarterly publications that debunks the myth that entities are required to develop Quality Management Plans (QMP) for all Centers for Medicare and Medicaid Services (CMS)/Home and Community-Based Services (HCBS) Quality Framework focus areas. Administrative Entities (AE), Supports Coordination Organizations (SCO), Providers, Quality Assessment and Improvement (QA&I) reviewers, and anyone who reviews QM plans — including their own — should reference this information as they develop and evaluate QM plans.

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