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CMS Releases Proposed Rule that Updates SNF Rates

On April 14, 2021 by Jeff Bostic

Late last week, the Centers for Medicare and Medicaid Services (CMS) issued an annual Proposed Rule that updates the SNF PPS rates effective October 1, 2021.  CMS will follow up with a final rule on the October 1 rates around August 1.

Now Available - Moratorium Exceptions Process Application Materials

On January 27, 2021 by Jeff Bostic

The Minnesota Department of Health (MDH) recently released the application materials for an unexpected round of the nursing facility moratorium exceptions process, which are available on the MDH web site. Care centers interested in applying will need to complete all of the required application materials and return them to MDH by June 25. Following a presentation to a review committee later this year, MDH will have a list of approved projects by Sept. 3, 2021.

Contact Information Needed for DHS Labor Market Survey

On January 20, 2021 by Jeff Bostic

Under a new requirement that the Legislature created in Minnesota Statutes Section 256B.4912, subdivision 1a, home and community based services providers, including all Elderly Waiver and Disability Waiver providers, to participate in a labor market survey that will be conducted later this year.

Paycheck Protection Program (PPP) Loan Details Released

On January 13, 2021 by Jeff Bostic

A key part of the December 2020 COVID-19 relief bill is a renewal of the Paycheck Protection Program (PPP), including availability of second draw loans for some organizations that got a PPP loan earlier this year. In January 2021, the Small Business Administration and the Department of Treasury issued rulemaking to implement the second draw loan program. Organizations that received a PPP loan earlier this year are eligible to receive a second forgivable loan of up to $2 million if they meet eligibility criteria. The loan application portal is expected to open this week. As with the first round, eligible organizations can apply through most local or national banks.

New Nursing Pool Caps Updated

On January 6, 2021 by Jeff Bostic

Each year, the state calculates the average wages of RNs, LPNs, CNAs, and TMAs in care centers using the data provided from the annual cost reports, and then computes the statutory limits on the amount that Supplemental Nursing Services Agencies (SNSAs) can charge per hour for each type of staff. The new caps are effective Jan. 1, 2021.

PRF Phase Three Payments Going out to Providers

On December 16, 2020 by Jeff Bostic

Today, U.S. Department of Health and Human Services (HHS) started distributing payments to providers who applied for phase three of the Provider Relief Fund (PRF) general distribution. Nationally, they are distributing $24.5 billion to more than 70,000 health care providers. The basis for the payments is half of the reported lost revenue and increased expenses from the first half of this year.  Combined with previous PRF payments this is designed to cover the majority of the lost revenue and higher expenses experienced by health care providers through June.

DHS Issues Memo on Temporary Absence Waiver for Housing Support (GRH) Recipients

On December 9, 2020 by Bobbie Guidry

The Minnesota Department of Human Services (DHS) Housing Support team has published a memo regarding the end of the temporary absence waiver that has been in place under the authority of the Governor's Emergency Executive Order 20-12, under which the DHS Commissioner waived certain absence day requirements for Housing Support recipients. The absence waiver allowed for absences longer than 18 days per absence and/or beyond 60 days total in this calendar year. The absence waiver is for people who are temporarily absent due to offsite quarantine, isolation, or hospitalization. The absence waiver is ending on Dec. 30, 2020. There is no authority to extend beyond this date.

Fewer Minnesota Providers Qualified for October Infection Control Incentives

On December 9, 2020 by Jeff Bostic

Today, the Department of Health and Human Services (HHS) started distributing the second round of infection control incentive payments to care centers who earned them for the month of October.  They also released the details about which providers received payments and how much the payments were.

Billing Guidance for Care Center Staff Testing

On December 2, 2020 by Jeff Bostic

Due to the overlapping mandates for testing of staff and residents during outbreaks and of staff based on the positivity rate in the county, the Long-term Care Imperative has been working with the Minnesota Department of Health (MDH) and the Department of Human Services (DHS) on clarifying how staff testing should be billed when both requirements apply.

CMS Posts Final Rule on Updated SNF Medicare Rates

On August 5, 2020 by Jeff Bostic

The Centers for Medicare & Medicaid Services (CMS) released the final version of the annual Skilled Nursing Facility (SNF) Payment Rule that updates rates for the second year of the Patient-Driven Payment Model (PDPM) which starts on Oct. 1. The Oct. 1 rates include an inflation update of 2.2% based on a formula in existing law.  

Focus on Value and Outcomes as Payment Models Evolve

On January 21, 2020 by Jodi Boyne

Post-acute care providers must demonstrate their value and outcomes in more care setting as payment models evolve in the coming years, according to a new report by Avalere Health.  

COMING SOON - PDPM Training Series: Countdown to October Implementation

On March 19, 2019 by Jeff Bostic

Patient Driven Payment Model, or PDPM, is the biggest change to care center reimbursement since RUGs, and it goes into effect in just six months – Oct. 1. Get your organization ready for the conversion through a series of training opportunities from LeadingAge Minnesota:  

Long-Term Services and Supports Costly Now, More So in Future

On February 13, 2019 by Jodi Boyne

Two studies, one issued by the Commonwealth Fund and one by the congressional Joint Economic Committee, show the difficulty long-term services and supports costs pose for older people and their families now and how these costs likely will increase for the future as informal, unpaid family caregiving becomes less available. 

New Opportunities in New Bundled Payment for Care Improvement

On October 23, 2018 by Jodi Boyne

The Centers for Medicare & Medicaid Services (CMS) recently announced that close to 1,300 entities have signed up to participate in the Bundled Payment for Care Improvement Advanced (BPCI Advanced) Model on a voluntary basis. A new blog post from Health Dimensions Group (HDG) provides basic facts, a fresh perspective on what this means and what providers should do next.   

Now Available: Webinar Recording - New Medicare Care Center Payment System

On August 28, 2018 by Jeff Bostic

LeadingAge Minnesota and Health Dimensions Group last week hosted a webinar on the new Patient Driven Payment Model (PDPM), which is scheduled to take effect on October 1, 2019 and will make dramatic changes in how Medicare pays for services in care centers.  

Value Over Volume: Lancaster Pollard Reviews PDPM

On July 17, 2018 by Jodi Boyne

As we first reported in May, the Centers for Medicare & Medicaid Services (CMS) is proposing an entirely new case mix payment system to take effect on Oct. 1, 2019. In this week’s Advantage, we feature a review of this Patient-Drive Payment Model (PDPM) from Lancaster Pollard.  

Billing University is Aug. 8-9, Registration Open

On June 26, 2018 by Heidi Simpson

This annual two-day intensive learning experience for new and seasoned business office staff is Aug. 8-9. Billing University delivers training designed to improve the financial health of care centers with the knowledge, skills and resources necessary to capture appropriate reimbursement and revenue for services and care provided. 

Time to Select New QIIP Goals

On May 22, 2018 by Jeff Bostic

The Minnesota Department of Human Services (DHS) recently prepared the data needed for all care centers in the Medical Assistance program to select a new goal to work on for another round of the Quality Improvement Incentive Payment Program (QIIP). Each year, based on their progress toward the goal they select, care centers receive a rate increase of up to $3.50 per resident day. 

More Information on Payment Changes in Proposed PPS Rule

On May 15, 2018 by Jeff Bostic

In this week’s update on the proposed Skilled Nursing Facility Prospective Payment System (PPS) rule, we provide more information on payment changes. 

New Analysis on Proposed SNF Payment Rule

On May 9, 2018 by Jeff Bostic

As we covered in last week’s Advantage, the new proposed payment system from the Centers for Medicare & Medicaid Services for skilled nursing facilities will be the first year where Value-Based Purchasing (VBP) will be implemented. LeadingAge has prepared a detailed analysis of the proposed changes to the VBP program and the Quality Reporting Program. 

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