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CMS

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The Centers for Medicare and Medicaid Services (CMS) conducted a special open door forum on June 27, 2023, that focused on the Review Choice Demonstration (RCD) for inpatient rehabilitation facilities (IRF). Beginning August 21, 2023, the RCD will begin for IRF services in Alabama. CMS has shared that IRFs in Pennsylvania will be included in the next phase of the demonstration. For additional information, there is an RCD web page dedicated to this. The presentation from the June 27 special open door is also available.

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As part of its commitment to advancing health equity and access to care for underserved populations, CMS released a set of resources addressing the needs of adults with intellectual and developmental disabilities (I/DD) living with and cared for by aging parents or guardians. The release includes resources for state Medicaid and partner agencies to provide new or additional support to adults living with I/DD and their caregivers as they age and experience life transitions.

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CMS Webinar: June 14, 2023
1:30 pm – 3:00 pm ET
Register here

States can use outcome-based payment arrangements as an alternative or supplement to traditional fee-for-service (FFS) payments to incentivize 1915(c) waiver program providers with meeting targeted milestones or achievements. States offering outcome-based payment arrangements establish targeted outcomes that align with participant or program goals. This training will help states by:

  • Providing an overview of outcome-based payments in 1915(c) waiver programs;
  • Highlighting examples of outcome-based payments from 1915(c) waiver programs and outcome-based payments methodologies;
  • Discussing the impact of the COVID-19 Public Health Emergency and state responses using outcome-based payments; and
  • Discussing considerations for states implementing outcome-based payments in 1915(c) waiver programs.

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Message from ANCOR:

ANCOR has been working diligently to review the proposed Access Rule, Ensuring Access to Medicaid Services, assess its impact, and propose ways to strengthen access to community-based services. Please join us on Tuesday, June 6, from 1:00 pm – 2:00 pm EDT for our second Members-Only Briefing on the Access Rule.

Please register in advance for Tuesday’s Feedback Forum.

During Tuesday’s Members-Only Briefing, the GR team will review:

  • How the Access Rule proposes to address direct care compensation, standardize systems of reporting, and engage stakeholder input;
  • ANCOR’s strategy to respond to the Access Rule;
  • How you can help us assess the impact and submit comments.

In addition to Tuesday’s briefing, we want to hear from you, in your own words, what impact the proposed rulemaking may have on your organization’s ability to provide services.

Please respond to this 10-question survey by Friday, June 9 at 11:59 pm PDT.

We remain committed to keeping you informed and providing you with the tools you need to offer comments and insight into the proposed rules. Thank you for everything you do each day, and we hope to see you on Tuesday at 1:00 pm EDT.

Shannon McCracken
Vice President of Government Relations
ANCOR
606-271-3555

If you have any questions regarding this ANCOR message, please contact Carol Ferenz.

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On Thursday, May 25, the Centers for Medicare and Medicaid Services (CMS) posted updated information to the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) website. Included in this updated information is the Review Choice Demonstration for Rehabilitation Facility Services Operational Guide and the IRF RCD Process Flowchart. The flowchart is also contained as an appendix in the operational guide.

The Operational Guide provides additional detail on the processes for IRFs impacted by the RCD. The IRF RCD is expected to begin in Alabama on August 21, 2023. The next phase of the rollout has not been shared yet; however, Pennsylvania is expected to be one of the next states to be impacted.

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