You're receiving this email because of your relationship with the Office of Inspector General, Division of Health Care. Thank you for your continued commitment to serving the citizens of our Commonwealth!
Cabinet for Health & Family Services
Office of Inspector General
Division of Health Care
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Long Term Care Provider Newsletter
May 2020
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The Kentucky Office of Inspector General is committed to the protection of patients and residents of healthcare facilities from the spread of infectious disease. Regarding any coronavirus (COVID-19) concerns, you may refer to the following website for the most up-to-date news and information:
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COVID-19 Testing in Long Term Care Facilities
The Governor has asked that all residents and staff at every long-term care facility in the state be tested for COVID-19. The Office of Inspector General is coordinating with the Department for Public Health (KDPH) and Norton Healthcare to make that possible. KDPH and Norton will be reaching out to facility administrators to schedule testing and support and will coordinate with local health departments.
Please note, you do not need to contact Gravity Diagnostics, as KDPH will contact the facilities to schedule testing and will also order the kits to be delivered.
Testing has already taken place at some facilities and is expected to be completed for all facilities in July. Please
view the slide
for details.
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CMP Communication Technology Grant
For those interested in the Civil Money Penalty Communication Technology (CMP CT) Grant opportunity for certified nursing facilities, we have provided information on our
CHFS OIG Civil Money Penalty Funds webpage for assistance in applying for the grant.
On this page, you will find an announcement letter, which explains the application process and information needed for both the required cover letter and application content.
Click here
to see additional details.
If you any questions, or need additional information regarding the CMP CT Emergency grant, please contact Gina Riddell, Grants Administrator at
gina.riddell@ky.go
v or 502-564-2888 Ext. 3341.
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FREE PRESENTATION
Impact of COVID-19 in Skilled Nursing Facilities
Sanders-Brown Center on Aging at the University of Kentucky is offering a free presentation specifically for the
Impact of COVID-19 in Skilled Nursing Facilities
online on
June 2, 2020,
at
3:00 pm EST.
Registration is required at:
https://www.cecentral.com/live/17064.
This presentation will provide free continuing education credits for your participation. We invite all staff, care providers, and affiliates of certified nursing facilities to join this presentation.
Please see the attached
FLYER
.
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FROG: Friction Rubs Out Germs!
Is someone not handwashing properly? Just say “Ribbit”! Please see the
badge card and
poster resource shared from Alliant Quality as a fun and engaging way to promote appropriate and correct hand hygiene within your facility!
FROG: Friction Rubs Out Germs!
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MDS 3.0 Manual Assessment Correction/Deletion Request
Item A0410 Submission Requirement is Incorrect
If a record has been submitted with the incorrect Submission Requirement value in Item A0410, then that record must be manually deleted. Item A0410 cannot be corrected by modification or inactivation.
This requires a request from the facility to the facility’s state agency to manually delete all traces of a record from the QIES ASAP system. The policy and procedures for a Manual Correction/Deletion Request are provided in section 5.8 of the RAI Manual.
Click here to see the specific procedures for submitting a deletion request to the KY State Agency. Recently, some providers have mistakenly mailed their deletion requests to Myers and Stauffer. Please use the instructions to obtain the correct address for the KY State Agency, which is the CHFS OIG Division of Health Care.
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MDS 3.0 Technical Information
In response to State Medicaid Agency and stakeholder requests, CMS has updated the MDS 3.0 item sets (version 1.17.2) and related technical data specifications. These changes will support the calculation of PDPM payment codes on OBRA assessments when not combined with the 5-day SNF PPS assessment, specifically the OBRA comprehensive (NC) and OBRA quarterly (NQ) assessment item sets, which was not possible with item set version 1.17.1. This will allow State Medicaid Agencies to collect and compare RUG-III/IV payment codes to PDPM ones and thereby inform their future payment models.
The changes to the technical data specifications that support these modifications are contained in the Errata v3.00.4 which can be accessed in the file: MDS 3.0 data specs errata (v3.00.4) Final 04-30-2020 in the Downloads section of the
MDS 3.0 Technical Information website. Nine issues were identified. These changes will go into production on October 1, 2020. Two edits will be added and six edits will be revised. Also, a new control item, STATE_PDPM_OBRA_CD, will be added. These changes will facilitate calculation of PDPM HIPPS codes on OBRA assessments for states that wish to have this calculation performed.
Supporting materials including the 1.17.2 Item Change History report and the revised 1.17.2 Item Sets can be accessed in the file: MDS 3.0 Final Item Sets v1.17.2 for October 1 2020 zip also posted in the Downloads section of the
MDS 3.0 Technical Information website.
Please confirm with your State Medicaid Agency if your State will be requiring the calculation of the PDPM payment codes on the OBRA assessments when not combined with a 5-day SNF PPS assessment.
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Delayed: Release of Updated Versions of SNF Assessment Instrument (and Supporting Training)
CMS is delaying the release of the updated versions of the Minimum Data Set (MDS) needed to support the Transfer of Health (TOH) Information Quality Measures and new or revised Standardized Patient Assessment Data Elements (SPADEs) in order to provide maximum flexibilities for providers of Skilled Nursing Facilities (SNFs) to respond to the COVID-19 Pubic Health Emergency (PHE).
The release of updated versions of the MDS will be delayed until October 1st of the year that is at least 2 full fiscal years after the end of the COVID-19 PHE. For example, if the COVID-19 PHE ends on September, 20, 2020, SNFs will be required to begin collecting data using the updated versions of the item sets beginning with patients discharged on October 1, 2022.
Following the PHE, CMS will announce training opportunities for providers via this webpage and announcements sent out via email distribution lists and posted on the Medicare Learning Network.
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PBJ 4.00.0 fileSpecVersion
CMS
is delaying the previously communicated June 1, 2020 date for rejecting PBJ fileSpecVersions 2.00.0 and 2.00.3. The PBJ system will continue to accept PBJ fileSpecVersions 2.00.0, 2.00.3 and 4.00.0 until further notice from CMS. Details can be found in the document: Errata V4.00.1 for PBJ Data Submission Specifications (V4.00.0) 04-16-2020 that is found on the Downloads Section of the
Staffing Data Submission Payroll Based Journal (PBJ) website
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Kentucky's Top 10 Citations
for Nursing Homes
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Informal Appeal of Survey Findings
Interested in Serving on an IDR Panel?
Kentucky requires one member of the IDR panel to be "a person currently engaged in the provision of Long Term Care services who has no affiliation with the provider disputing a deficiency." Typically, a Long Term Care Administrator is on each IDR panel. There is no payment or travel reimbursement for an Administrator serving on a panel. Administrators will be rotated. If a Long Term Care Administrator is interested in serving on a panel, a confidentiality statement must be signed prior to the participation in the first IDR panel.
Chrystal Daugherty, IDR/IIDR Coordinator
Office of Inspector General
116 Commerce Ave.
London, KY 40744
Fax: (606) 330-2054
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MDS/RAI CONTACT INFORMATION
Chrystal Daugherty
MDS Assessment/Coding Issues
Rhonda Littleton-Roe
Transmission or Technical
Please note: Do not send any identifiable patient information through e-mail. This includes patient names, SSNs, dates of birth, or any other data items considered identifiers or Protected Health Information (PHI) under HIPAA. Please redact any PHI prior to sending.
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Is your certified nursing facility signed up for ePOC? If so, be diligent about keeping your account and password up to date. A
ll correspondence is handled in the ePOC system, including the plan of correction. Furthermore, if there is a change in administrator, it is incumbent upon the facility to update the system.
If your facility is not signed up, see the
Account Setup
instructions.
Not sure if your facility has any ePOC accounts or have other questions? E-mail
ePOC.Support@ky.gov
or call Rhonda Littleton-Roe at 502-564-7963 x.3300.
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Have you notified your residents?
Click the link below to download and/or print the contact list for various agencies.
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Which Branch is Serving You?
To provide the highest level of service, the Division of Health Care operates through four regional offices. Knowing the appropriate Branch to contact with questions and concerns will ensure you receive maximum service in minimum time. Review links below for detailed information.
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CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
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Transfer/Discharge Hearing Appeals
Please submit your requests for transfer/discharge hearing appeals to Secretary Eric C. Friedlander, Cabinet for Health and Family Services, by emailing:
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LTC Facility Self-Reported
Incidents & Complaints
New email addresses have been established for communications regarding LTC Facility Self-Reported Incidents and for use by residents and the general public to report possible violations of regulatory requirements.
Click Here
for the email addresses and additional contact information.
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Quality, Safety & Education Portal
CMS's
QSEP
provides the full curriculum of surveyor training and guidance on health care facility regulations. All training is available on-demand on a top-notch self-service portal. 24/7 access means you have the freedom to learn what you want, where you want, when you want.
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Employment Opportunities
To search and apply for positions within the Office of Inspector General, please visit the Kentucky Personnel Cabinet's web page by clicking below.
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DHC Leadership Team:
Inspector General
Deputy Inspector General
Director
Assistant Director
Assistant Director
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Want to Sign Up for This Newsletter?
If you have received a copy of this newsletter from a friend or co-worker, you can click
here
and enter your information to join our mailing list, or contact
MelissaD.Richard@ky.gov
.
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Commonwealth of Kentucky | Office of Inspector General | 275 East Main St., Frankfort, KY 40621
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The Office of Inspector General is the regulatory and licensing agency for all health care, day care and long-term care facilities and child adoption/child-placing agencies in the commonwealth.
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