Latest Long Term Care Federal Regulatory Changes

Skilled Nursing Facility PPS   Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities

MDS 3.0 RAI Manual

MDS 3.0 Technical Information

State Operations Manual   Minimum health and safety standards that must be met by providers participating in the Medicare and Medicaid programs

Federal Regulations for Long Term Care   Centers for Medicare & Medicaid Services, Department of Health and Human Services, Standards and Certification, Public Health, Requirements for states and Long Term Care Facilities, Title 42, Chapter IV, 400-699

Survey Requirements and Guidelines for Skilled Nursing Facilities   Protocols and interpretive guidelines surveyors are required to use in assessing the nursing home’s performance compliance with Federal requirements.

Nursing Home Quality Initiative   Resources about Minimum Data Set (MDS), Care Compare, payment, quality measures, survey and certification information for providers

Patient Driven Payment Model, PDPM   Clinical categories used for PT, OT, SLP, NTA components, and ICD-10 code mappings

Care Compare   Quality measures for consumers, providers, states, and researchers to compare information on nursing homes

Staffing Data Submission

Quality Measures

Covid 19 Resources for Long Term Care

Guidance for Healthcare Personnel  To address an anticipated surge of COVID-19 cases from the Omicron variant, CDC has updated isolation and work restriction

Contingency and Crisis Management CDC also updated guidance for  significant healthcare worker shortages.

CMS COVID-19 NHSN Reporting Requirements for Nursing Homes

CMS Plan for Coronavirus Prevention in Nursing Homes

HIPAA Administrative Simplification Regulation Text   45 CFR Parts 160, 162, and 164, March 2006, Complete version with table of contents, HIPAA survival guide, resources, toolkits

NANDA-I   North American Nursing Diagnosis Association, Develops, classifies, and maintains standardized nursing terminology. Provides updates on new diagnoses. Accepts submissions of new nursing diagnoses.

National Council of State Boards of Nursing   Maintains the Nursys database, which coordinates national publicly available nurse licensure information.

National Guideline Clearinghouse   Objective, detailed information on clinical practice guidelines. Originally created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans.