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News related to "cms"

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Bridging the Gap: Turning Section GG Accuracy into Better Outcomes

On August 20, 2026 by LeadingAge Minnesota

Section GG has become one of the most influential sections of the Minimum Data Set (MDS), yet it remains one of the most misunderstood. While many clinicians recognize its importance for Medicare reimbursement, Section GG extends far beyond payment. Accurate coding directly impacts Quality Measures, Value-Based Purchasing, Five-Star performance, state Medicaid case-mix systems, discharge planning, and the resident's overall clinical story.

CMS Releases Surveyor Resources for SNF Risk-Based Surveys

On August 20, 2026 by Kari Everson

On August 13, 2026, the Centers for Medicare and Medicaid Services (CMS) released the surveyor resources for the newly implemented Risk Based Survey (RBS) process.

Nursing Home Rates Will Be Posted Soon, According to DHS

On August 20, 2026 by Jeff Bostic

After months of delay due to late submission by DHS of the State Plan Amendment (SPA) to the Centers for Medicare and Medicaid Services (CMS), nursing home rate notices for January 1, 2026, will be posted to nursing facility provider portal sometime soon, according to DHS.

State Plan Amendment Approved By CMS: What this Means for Providers

On August 13, 2026 by LeadingAge Minnesota

After months of delay, on Tuesday, Aug. 11, CMS approved Minnesota’s State Plan Amendment (SPA). This approval triggers significant nursing facility rate, wage, and surcharge changes.

CMS Finalizes Removal of COVID-19 Vaccination Measures From the SNF QRP

On August 6, 2026 by Kari Everson

The Centers for Medicare & Medicaid Services (CMS) has finalized changes to COVID-19 vaccination reporting requirements under the Skilled Nursing Facility Quality Reporting Program (SNF QRP).

FY 2027 SNF PPS Final Rule: Stability Today, Preparation for Tomorrow

On August 6, 2026 by LeadingAge Minnesota

The Centers for Medicare & Medicaid Services (CMS) has officially released the FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule, and the biggest takeaway is one of stability. The final rule closely mirrors the proposed rule issued earlier this year, with very few substantive changes. While there were no major surprises, there are several important updates that skilled nursing providers should understand as they prepare for the years ahead.

Updates to Five-Star Quality Measure Thresholds Return

On July 23, 2026 by Julie Apold

The Centers for Medicare & Medicaid Services (CMS) has updated the Five-Star Quality Rating System Technical Users' Guide to reflect changes to the Quality Measure (QM) domain rating thresholds, which will take effect with the quarterly Five-Star refresh scheduled for July 29, 2026.

CMS Rolls Out Risk-Based Survey Process: What It Means For Minnesota Providers

On July 16, 2026 by Kari Everson

CMS has announced a major shift in how nursing homes will be surveyed. On July 16, 2026, CMS issued QSO-26-14-NH, formally launching the Risk-Based Survey (RBS) process nationwide beginning September 8, 2026.

Fire Drills vs. Preparedness Exercises: What’s the difference?

On July 2, 2026 by Mark Schulz

State and federal regulations require nursing homes and assisted living facilities to have emergency plans that describe how they will respond to emergencies, including fires in the building. These same regulations also require facilities to practice those plans.

Risk-Based “Short” Survey Pilot Brings Shorter Review Option for Nursing Homes

On June 4, 2026 by Mark Schulz

CMS continues to test a risk-based survey process known as a “short survey” for select nursing homes that meet higher-quality indicators. The shorter survey approach is intended to focus survey resources while still protecting resident health and safety. The short survey still meets CMS requirements for the standard survey cycle.

What CMS Is Signaling to Skilled Nursing Providers in the FY 2027 Proposed Rule

On May 28, 2026 by Kari Everson

The FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Proposed Rule is more than just another annual reimbursement update. While the headlines focus on a 2.4% payment increase, the deeper message from CMS is much more significant: the agency is preparing for tighter oversight, faster accountability, expanded reporting expectations, and increased scrutiny of MDS coding patterns across the skilled nursing industry.

Strengthening Emergency Preparedness with MOUs

On May 21, 2026 by Mark Schulz

Memorandums of Understanding (MOUs) are a key part of a long-term care facility’s emergency preparedness plan, helping ensure residents can be safely transferred or temporarily sheltered when a facility cannot maintain operations.

The HCBS Shake-Up: Why CMS’s New Quality Measures Are Getting Attention

On April 30, 2026 by Kelly Conrad

The federal push to standardize quality in home and community-based services (HCBS) just got a lot more concrete, and a bit more complicated.

CMS Releases Proposed Medicare SNF Prospective Payment System Rule 

On April 6, 2026 by Jeff Bostic

Late last week, CMS released the annual proposed PPS rule. That rule, which will be adopted in final form around Aug. 1, implements annual rate updates and other Medicare policy changes impacting SNFs. This year’s rule proposes a 2.4% increase in SNF rates effective Oct. 1, reflecting relatively low inflation. Wage index values also update on that date, meaning the actual rate increase will vary from the inflation increase. 

The Future of the Falls with Major Injury Quality Measure: What SNFs Need to Know

On March 26, 2026 by LeadingAge Minnesota

Falls with Major Injury (FMI) has long been one of the most closely watched quality measures in long-term care. It directly affects public reporting, survey scrutiny, and Five-Star Quality Ratings. However, a major shift is underway in how this measure is calculated.

CMS Updates for Complaint, Survey, Enforcement Processes; MDH Webinar

On March 12, 2026 by Mark Schulz

The Centers for Medicare & Medicaid Services (CMS) released updates to the State Operations Manual on January 30, 2026. The new changes are effective March 30, 2026. Updates were made to Chapter 5, which outlines complaint investigations and processes, and Chapter 7, which relates to the long-term care survey process.

HHS Issues Final Rule: Annual Inflation Adjustment to Civil Monetary Penalties

On January 29, 2026 by Mark Schulz

The U.S. Department of Health and Human Services (HHS) has published a final rule updating its civil monetary penalty (CMP) amounts to reflect inflation, under the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015. This change ensures that penalties retain their deterrent effect by adjusting them annually based on changes in the Consumer Price Index.

The SNF Validation Program: When Data Integrity Becomes a Measure of Trust

On January 29, 2026 by LeadingAge Minnesota

For years, skilled nursing facilities (SNF) operated in a system where data submitted through the Minimum Data Set (MDS) was largely accepted at face value. Facilities reported, measures were calculated, and reimbursement and public reporting followed. That is ending.

Nursing Home Care Compare iQIES Transition Update

On January 15, 2026 by Julie Apold

CMS has recently moved nursing home survey and certification data into its new cloud-based system, iQIES (Internet Quality Improvement and Evaluation System). While this modernization is intended to improve data quality and reliability, the transition has resulted in data discrepancies that may be visible on Nursing Home Care Compare.

SNF Off-Cycle Revalidations Suspended Indefinitely

On December 11, 2025 by Mark Schulz

The Centers for Medicare & Medicaid Services (CMS) has indefinitely suspended the Skilled Nursing Facility Off-Cycle Revalidation required by January 1, 2026. It is important to note that only the January 1 (“off-cycle”) compliance date has been suspended.

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