The Centers for Medicare & Medicaid Services (CMS) has clarified guidance to surveyors regarding the procedures for conducting exit conferences, specifically related to the sharing of regulatory tags. There are significant changes to the exit conference process in this memo. In addition to the guidance in this memo, CMS has also given direction that the staff identifier list is not to be released even if requested. This guidance applies to Medicare/Medicaid certified homes only. The Section for Long-Term Care Regulation will implement these changes no later than March 31, 2016.
Please see the memo and attachments below or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-11.html?DLPage=2&DLEntries=10&DLSort=3&DLSortDir=descending.
SC16-11-ALL.02 SOM Chapter 2
SC16-11-ALL.03 SOM Chapter 5
SC16-11-ALL.04 SOM Appendix P
Information about the requirement for LTC facilities to electronically submit staffing data through the PBJ:
Please see the memo here for details.
All QIES systems will be down from Wednesday, March 16 after 7:00 P.M. (Central) through Monday, March 21 2016 at 10:49 (Central). This downtime will affect all QIES connectivity and systems. The National database will not be available. CASPER reports will not be available.
An email blast regarding this extended downtime was sent out to the provider community on January 21, 2016. The email recommended that providers plan their business needs around this downtime and submit their resident assessments early. Notices have also been posted on the QIES Systems for Providers webpages regarding the extended downtime.
If you have any questions concerning this information, please contact the QTSO Help Desk at email@example.com or 1-888-477-7876.
In response to feedback from stakeholders and partners of the National Partnership to Improve Dementia Care in Nursing Homes, CMS is sharing the revised survey materials that were developed for the 2014 Focused Dementia Care Survey Pilot and 2015 expansion effort. The intent is that facilities would use these tools to assess their own practices in providing resident care.
Please see the memo and attachments below or you may visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-04.html?DLPage=1&DLEntries=10&DLSort=3&DLSortDir=descending.
On October 1, 2015 a new version of the RAI Manual became effective, Version 1.13. Most of the changes were minor but there is one important change to point out. Prior to the update, Significant Change MDS’s were required if a resident enrolled in or discontinued hospice. Those rules are still in effect, but now, a Significant Change MDS is also required when a resident changes hospice providers and remains a resident at the nursing home. This new rule is in the RAI manual in Chapter 2 on page 21. A Significant Change MDS may also be required in situations when the hospice providing services is purchased by another hospice provider.
The new manual can be found at: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual.html. Scroll to the bottom of the page. The first link is the ENTIRE Manual. The second link is just the pages that have been changed as of October 1, 2015. You will also find a summary of the changes in the second link.
If you have any questions, you may contact Stacey Bryan, BSN, RN, State RAI Coordinator, Department of Health & Senior Services, Telephone 573-751-6308 or E-mail Stacey.firstname.lastname@example.org.
CMS has released a ICD-10 Resources Guide. The guide concentrates on quick references and key steps to take to get ready for the October 1 transition. Some of the resources include the Quick Start Guide, Infographics, Videos, and more ways to stay up to date on other information regarding ICD-10.
Please see the ICD-10 Resources Flyer for more information located here. You may also visit the CMS ICD web page here and the Road to 10 webpage here for the latest news and resources to help prepare.
Electronic submission of staffing data for long-term care facilities – Payroll Based Journal (PBJ).
Registration is OPEN and ALL Long-term Care facilities are encouraged to register for the voluntary data submission period. Please use the resources listed below to register:
- Obtain a CMSNet User ID for PBJ Individual, Corporate and Third Party users, if you don’t already have one for other QIES applications (https://www.qtso.com/cmsnet.html).
- Obtain a PBJ QIES Provider ID for CASPER Reporting and PBJ system access (https://mds.qiesnet.org/mds_home.html).
- PBJ Corporate and Third-Parties must use the current form based process to register for a QIES ID. Registration forms are available under the Access Request Information / Forms section on the right side of the page (https://www.qtso.com/).
For technical questions on how to register, please email NursingHomePBJTechIssues@cms.hhs.gov.
Additionally, CMS has posted an updated PBJ Policy Manual Draft and a list of frequently asked questions (FAQ) and answers about PBJ instructions and policies. Please visit https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html for more information. For policy related questions, please email NHStaffing@cms.hhs.gov.