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Please join us for one of the 2016 Annual Long Term Care Provide Meeting.

Region 1 –September 15, 2016-
Cox Medical Center, South Foster Auditorium
3801 South National Avenue, Springfield

Region 2 –November 4, 2016-
Southeast HEALTH, Harrison Room
1701 Lacey Street Cape Girardeau

Region 3 –September 28, 2016-
Hilton Garden Inn Independence, Independence Room
19677 E. Jackson Drive, Independence

Region 4 –September 27, 2016-
Stoney Creek Inn, Frontier Room
1201 Woodbine Road, St. Joseph

Region 5 –September 22, 2016-
Macon Comfort Inn, Trophy/Maple Room
1821 North Missouri, Macon

Region 6 –October 17, 2016-
Governor’s Office Building, Room 450
200 Madison Street, Jefferson City

Region 7 –October 6, 2016-
Embassy Suites St. Louis Airport
11237 Lone Eagle Drive, Bridgeton

The Provider Meetings will continue to be held in two sessions, the first session will be for Residential Care Facilities/ Assisted Living Facilities and the second session will be for the Skilled Nursing Facilities/Intermediate Care Facilities.  This year in order to avoid repetition in the program we will conduct a combined session for all provider types to cover topics of interest relevant to all.  The combined session will run from 10:15 until noon.  This session will include a presentation by the Missouri State Highway Patrol as well as a presentation regarding involuntary discharge.  Registration is not required.  CEU’s will be available for Nursing Home Administrators.

Presentation handouts will not be available on the day of each meeting but may be printed from the attachments.  Please see the attached 2016 Provider Meeting Agenda and Handouts.

2016 Provider Meeting Agenda
Survey Preparedness-SLO
Discharge Notice Requirements
Enforcement Updates
Reporting and Policy Requirements
Survey Preparedness-SNF
2016 Provider Meeting LSC
Active Shooter -2016 (This was the presentation from Region 1; it is not guaranteed the presentation will be the exact same for all regions.)

MLN’s Oktoberfest, Nursing Home Administrator Conference

October 12-14, 2016:  Nursing Home Administrator Conference
Location:  Hilton Branson Convention Center, Branson

It is time to discover new experiences at the NHA Oktoberfest Conference in beautiful Branson!  The purpose of the activity is to enable the learner to acquire/ increase knowledge and skills to better care for the elderly.  Expert speakers will get you recharged while providing the latest information on hot topics in long-term care.

Please find registration and more information here.

Staffing Turnover: Tackle it before it Tackles you in Five-Star

October 4, 2016:  Stoney Creek Conference Center, Independence
October 11, 2016:  Ramada Oasis Hotel, Springfield
October 18, 2016:  Comfort Inn, Macon
October 19, 2016:  Embassy Suites, St. Charles

Please find the registration brochure and more information on MANHA’s webpage here.

MLN Geriatric Emergencies Workshop

September 21, 2016:  Kirksville Area Technical Center, Kirksville
September 22, 2016:  Tiger Place, Columbia
October 5, 2016:  Cape Girardeau Career & Technology Center, Cape Girardeau
October 6, 2016:  Cardinal Ritter Sr. Services on the Cardinal Carberry Campus, St. Louis

MLN brings you this workshop to educate health care professionals to effectively treat older residents in emergency situations. The objectives for this workshop include: 1. Discuss the aging process and the changes that occur over time. 2. Demonstrate multiple assessment tools. 3. Describe communication techniques for the elderly. 4. Discuss medical/legal issues and do not resuscitate (DNR).

Please see the Workshop brochure and more information including registration here.

ACO’s and Bundles: Making Your Facility a Preferred Provider

September 20, 2016:  Stoney Creek Hotel & Conference Center, St. Joseph
September 21, 2016:  Stoney Creek Conference Center, Independence
September 29, 2016:  Embassy Suites, St. Charles

Please see the brochure for more information including registration on MANHA’s website here.

CMS S&C Memo 16-40-NH/HHA/CLIA: Notice of Interim Final Rule (IFR) Agjusting Civil Monetary Penalties (CMPs)

The Department of Health and Human Services (HHS) has published in the Federal Register on September 6, 2016 an IFR which adjusts for inflation CMP amounts authorized under the Social Security Act.  (See Adjustment of Civil Monetary Penalties for Inflation)

The IFR establishes new section 45 CFR Part 102, which lists the new CMP amounts and ranges as adjusted by the IFR for affected regulations.  The changes made by the IFR are effective on September 6, 2016.

The IFR addresses all applicable CMPs under the authority of HHS but we are highlighting only on those CMPs assessed for Skilled Nursing facilities (SNFs), Nursing Facilities (NFs), SNFs/NFs, Home Health Agencies (HHAs), and Clinical laboratories.

Please see Attachment A for this S&C here.

For more information about this memo you may visit

CMS S&C Memo 16-37-ALL: Office of Civil Rights (OCR) Clearance

The Centers for Medicare & Medicaid Services (CMS) worked collaboratively with the OCR to revise the OCR clearance process for new providers and Changes of Ownership (CHOW).

The new process requires that providers successfully submit electronically an attestation of compliance with the civil rights requirements to the OCR before the State Survey Agencies (SA) and Regional Offices (RO) may process requests for initial surveys or CHOWs.

Confirmation from OCR of successful submission of the attestation will meet the requirements for OCR clearance and eliminates the need for CMS ROs to issue provisional provider agreements.

OCR will begin receiving electronic attestations on September 1, 2016.

Please see the attached Medicare Application Instructions.

For more information about this memo you may visit

New QIPMO Newsletter – July 2016

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 3, Issue 4.

Please visit QIPMO’s website here for this and other previous newsletters.