KHCA/KCAL is committed to providing our members with important updates. Below is a list of the most recent information. Please visit our website for a list of complete updates. www.khca.org/dailyupdates
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AHCA Summary of FY 2023 SNF Final Payment Rule
Last week, the Centers for Medicare & Medicaid Services (CMS) issued the final rule for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year (FY) 2023 update.
Highlights include:
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In April 2022, CMS proposed a negative 0.7 net Market Basket. The final rule provides a net market basket increase for SNFs of 2.7 percent beginning October 1, 2022. This was the result of the hard work of AHCA staff and thousands of members who submitted comments to CMS.
- The 2.7 percent market basket update, after rounding, reflects:
- An unadjusted market basket increase of 3.9 percent increased by 1.5 percent associated with a forecast error adjustment;
- A reduction of 0.3 percentage points in accordance with the multifactor productivity adjustment required by Section 3401(b) of the Affordable Care Act (ACA); and
- A 2.3 percent negative adjustment accounting for year one of a two-year PDPM parity adjustment phase-in.
- CMS net market basket update would increase Medicare SNF payments by approximately $904 million in FY 2023.
- CMS will apply the 4.6 percent parity adjustment amount as proposed but will phase-in the adjustment over two years (2.3 percent applied in FY 2023, and 2.3 percent in FY 2024). CMS applied the parity adjustment equally across all components.
AHCA has provided a summary of the final rule. If you have any questions, please contact the relevant subject matter expert listed in the summary.
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Also Reported By:
ModernHealthcare (7/29, Goldman, Subscription Publication, 215K) reported, "Nursing homes will receive a net $904 million increase in Medicare payments during fiscal 2023 under a final rule the Centers for Medicare and Medicaid Services issued Friday." CMS in April "proposed cutting Medicare Part A payments to nursing homes by $320 million," but "changed course, and will phase in that payment correction over two years to ease the burden on providers still struggling with the COVID-19 pandemic, the final rule says." Although "this is relatively more advantageous for skilled nursing facilities than the initial proposal, it falls short of the three-year phase-in the American Health Care Association/National Center for Assisted Living requested." AHCA/NCAL President and CEO Mark Parkinson said, "We greatly appreciate an overall increase to the Medicare program this coming fiscal year to help stabilize the profession and ensure our vulnerable residents have access to necessary, quality care."
Skilled Nursing News (7/29, Reiland) reported Parkinson added, "Meanwhile, we hope to address the historic labor crisis in nursing homes by working collaboratively with the Administration and other stakeholders. It is imperative that policymakers develop a comprehensive and supportive solution to help us recruit and retain more long term caregivers." The article added, "CMS said it took ‘a more cautious approach’ when calculating the payments, acknowledging the ongoing COVID-19 Public Health Emergency (PHE) and the need to mitigate potential negative impacts on the industry, including facility closures or disproportionate impacts on rural and smaller facilities."
McKnight’s Long-Term Care News (8/1, Brown) reports that while "many skilled nursing providers let out a sigh of relief after the" CMS announcement, "others were still expressing plenty of concern." On Friday, the AHCA "said the market basket increase and two-year phase-in of the PDPM parity adjustment were ‘essential’ for providers when accounting for the ongoing workforce and economic challenges they’re facing." Parkinson said, "Thousands of providers, lawmakers, and stakeholders shared how a swift cut to Medicare would be detrimental to our nursing home residents and staff, and we are grateful that CMS listened and made the necessary changes."
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A Message from AHCA/NCAL - Inspirational Video Submissions Needed
Dear AHCA/NCAL Members,
This year at our annual Convention, we want to feature YOU and share why you love what you do. We will be creating a compilation video that features our heroic caregivers. If you are interested in being highlighted during our Convention, please submit a video of yourself answering the question:
- What inspires you about your work in long term care?
Please submit your video using this form, and make sure your video is no more than 1 minute. Indicate in the submission your name, job title, and organization. Don’t be afraid to be creative! 😊
Not sure what we’re looking for? You can see a sample video here (but make it your own!).
We appreciate all that you do and look forward to celebrating with you in October.
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TOMORROW! Webinar: Survey Top 10 Citation Series - Survey Success! #7 Top Citation: F677 ADL Care Provided for Dependent Residents
8/2/2022 1:30PM-2:30PM
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August Medicaid Training with KDHE/DHCF
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On the landing page, under the login button, choose “Click Here.” by new user to create an account. (If an individual already has an account and has forgotten their password, please use the “forgot password” link. If an individual has forgotten their username, please email MedicaidTraining@ks.gov. All individuals should check their junk mail folder after using the “forgot password” link.)
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The federal government will give skilled nursing facilities a 2.7% pay bump in their payments for 2023, according to a final rule published on Friday. READ MORE
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Clinical Update from KHCA Consultant Linda Farrar
What are you doing to adapt/revise your QAPI processes based on the new surveyor guidance that was recently released? Let’s start with definitions: READ MORE
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Nursing Home Nurses Averaged Double-Digit Pay Raises This Year, Report Shows
McKnight’s Long-Term Care News (7/29, Berklan) reports, "Nursing home nurses averaged double-digit pay increases this year, as virtually all titles notched healthy increases, according to" the 45th annual HCS Nursing Home Salary & Benefits Report released Thursday in cooperation with the American Health Care Association and LeadingAge. The report showed that "the national average hourly rate for certified nurse aides soared by 11.15%, rising from $15.23 in 2021 to $16.87 in 2022. Registered nurses, meanwhile, were right behind with an hourly rate that jumped 11.1% (to $34.58). Licensed practical nurses saw a 9.4% increase, rising to $26.46 per hour."
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CMS Daily Digest Bulletin
- July 19 CMS Administrator’s National Stakeholder Call Recording and Transcript Now Available
- CMS-3326-P
- Enhanced Nursing Home Rating System
- CMS Releases Final 2023 Payment Rules for Inpatient Rehabilitation, Inpatient Psychiatric and Hospice Facilities
- Administrative Simplification Enforcement and Testing Tool
- CMS Seeks Public Feedback to Improve Medicare Advantage
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The Long Term Care Survey manual, Phase 3 is now available for pre-order!
Order your copy today for October delivery.*
Phase 3 of The Long Term Care Survey manual includes all the updates from CMS' three-phase implementation.
Survey guidance for Phase 3 was released in June 2022. Surveyors will begin using this guidance on October 24, 2022.
Save money by ordering through KHCA!
Learn more about updates to this important resource and place your order today! E-mail Jennafer Sumner with desired quantity.
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Person-Centered Dementia Care...From the Perspective of the Resident Lunch & Learn
This Lunch and Learn course includes the common framework and the stages of Dementia with a focus on improving the quality of care for individuals with dementia living in Long Term Care communities including Skilled Nursing, Assisted Living, and Home Plus settings. Presented by Linda Farrar, RN, LNHA this course will look at how care partners can approach prevention and de-escalation of challenging behaviors and will help you to intervene when behavior escalates. You will know how to recognize, respond and calm the individual using non-pharmacological approaches.
This course is limited to 45 attendees.
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Webinar: Dynamic DON Series: A Day in the Life of a DON
8/3/2022 1:30PM-2:30PM
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Webinar: The Proficient Infection Preventionist Series: Insightful Root Cause Analysis for the Infection Preventionist
8/16/2022 1:30PM-2:30PM
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Person-Centered Dementia Care...From the Perspective of the Resident Lunch & Learn
8/31/2022 10AM-3PM
Olathe, KS
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Dynamic DON
This 8-week webinar series runs August-September 2022 and focuses on skill building for serving effectively as the Director of Nursing with emphasis on effective leadership and staff engagement, nursing operations and systems of care for common conditions treated in the LTC setting.
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Looking for options for required Staff In-Service?
KHCA’s online learning platform is BACK! We’ve loaded the in-services for SNF and for AL first. Many more education sessions to come.
Questions about education can be directed to Polly Berkley VP of Operations and Education.
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Kansas Health Care Association and the Kansas Center for Assisted Living
1100 SW Gage Blvd. | PO Box 4770 | Topeka, KS 66604
PH: 785-267-6003 FAX: 785-267-0833
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