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Category Archives: SLCR Guidance

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 www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-40.html?DLPage=1&DLEntries=10&DLFilter=nh&DLSort=2&DLSortDir=descending.

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 Medicare Application Instructions Rev 09-07-2016.

For more information about this memo you may visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-37.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending.

CMS has published the updated Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual and forms which will be effective 10/1/2016

Section GG Part 1: www.youtube.com/watch?v=pNgQ3OSaxYg
Section GG Part 2: www.youtube.com/watch?v=M1JdQxjNOqE
Section GG Part 3: www.youtube.com/watch?v=ok3U2-mQymk
Section GG Part 4: www.youtube.com/watch?v=oRmMT_uYS8Y

New Region 6 Manager

Laura Smith is the new Section for Long-Term Regulation Region 6 Program Manager.  Laura has been with the Section for over 16 years, and has held various positions as a Facility Advisory Nurse.  She has served as the interim Region 6 Program Manager in the past and most recently has been the complaint supervisor.  Laura may be reached at 573-751-2270 or by email at laura.smith@health.mo.gov.

The Section for Long-Term Care Regulation has created a Guidelines for Facility Self-Reporting

This document summarizes the reporting requirements of certified and state only facilities and provides contact numbers and other important information.  The Guidelines for Facility Self Reporting is attached.

SAVE THE DATE – 2016 PROVIDER MEETINGS

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.)

FCSR IMPORTANT NOTICE – Registration Fee increase

Effective October 1, 2016, the Family Care Safety Registry Worker Registration fee will increase to $13.00. The fee increase results from a change in state law and is required by the Missouri State Highway Patrol.

The Family Care Safety Registry will return Worker Registration forms, submitted with the incorrect fee, that are postmarked on or after 10/01/2016. Updated Worker Registration forms will be available to download at http://health.mo.gov/safety/fcsr no later than September 15, 2016, or may be obtained by contacting the FCSR toll free at 866-422-6872.

This information is available on the FCSR website and the Registration and Background Screening System (BSEES).