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 All Policy

 

 

CMS Releases the FY26 Mission and Priority Document26935CMS released the FY 2026 MPD, which outlines survey, certification, enforcement, and Medicare funding allocations for states, while also providing background information on certified provider and supplier types, as well as accreditation and deeming surveys.9/29/2025 8:02:14 PM9/29/2025 8:02:14 PMProvider Magazine / Articles / CMS Releases the FY26 Mission and Priority Document The Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year (FY) 2026 Mission and STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx7281010https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{2BAC5435-7FB2-4937-811F-CDB8F5B38674}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
NCAL Endorses the Expanding Service Coordinators Act26847NCAL has endorsed the re-introduction of the Expanding Service Coordinators Act, which would make critical investments and reforms to expand the service coordinator programs to serve more people in federally assisted housing. 9/16/2025 1:48:23 PM9/16/2025 1:48:23 PMProvider Magazine / Articles / NCAL Endorses the Expanding Service Coordinators Act NCAL Endorses the Expanding Service Coordinators Act       9/15/2025 Assisted STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx724430https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{2AC3E6CA-D76D-407D-AA4F-445620B44185}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
Member Advocacy Yields Medicaid Wins for Long Term Care26789The tax and spending cuts bill made substantial changes to Medicaid, but the American Health Care Association and its member advocates were able to shield nursing homes and intermediate care facilities from any reductions to provider taxes. 9/9/2025 3:25:25 PM9/9/2025 3:25:25 PMProvider Magazine / Issues / 2025 / Fall / Member Advocacy Yields Medicaid Wins for Long Term Care On July 4, 2025, President Donald Trump signed the One Big Beautiful Bill Act STS_ListItem_850https://www.providermagazine.com/Issues/2025/Fall/Pages/Forms/AllItems.aspx8512450https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Issues/2025/Fall{C5939824-1D3A-4743-8741-4FF15B2D1C20}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_MagazineArticleFull.js32;1632
Now Available: The Final MDS 3.0 RAI User’s Manual 26776The final Minimum Data Set 3.0 Resident Assessment Instrument User’s Manual version (v)1.20.1 is now available.9/8/2025 8:02:40 PM9/8/2025 8:02:40 PMProvider Magazine / Articles / Now Available: The Final MDS 3.0 RAI User’s Manual Now Available: The Final MDS 3.0 RAI User’s Manual       9/8/2025 Policy STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx928690https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{C17AA33B-A06F-4BF1-A64D-453550998EF9}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
Important Compliance and Regulatory Reminders37903OIG released an audit report which reviewed compliance with background checks and abuse-registry requirements in skilled nursing facilities. The audit identified instances where staff began working before these required screenings were completed. 8/27/2025 5:44:29 PM8/27/2025 5:44:29 PMProvider Magazine / Articles / Important Compliance and Regulatory Reminders Important Compliance and Regulatory Reminders       8/27/2025 Policy Management STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx1610290https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{8D391114-C6A7-4163-99C4-39592039F850}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
CMS Releases Finalized MDS Item Sets and Matrix for Nursing Homes Effective October 1, 202538079CMS posted the final MDS 3.0 Item Sets version 1.20.1v3 and Item Matrix v1.20.1v3 in the downloads section of their MDS 3.0 RAI Manual page. The MDS Item Sets will be effective beginning October 1, 2025. 8/27/2025 6:15:34 PM8/27/2025 6:15:34 PMThe Centers for Medicare and Medicaid Services have posted the final Minimum Data Set (MDS) 3.0 Item Sets version 1.20.1v3 and Item Matrix v1.20.1v3 in the Downloads section of STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx20622390https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{8000030B-6B5E-4180-B7C7-58D4BF98B526}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
CMS Overhauls RADV Audit Program for Medicare Advantage Plans38080CMS conducts annual RADV audits to ensure the accuracy of diagnosis codes submitted by MA plans. Diagnosis codes directly impact patient risk scores, which determines CMS' risk-adjusted payment amounts to MA plans per enrollee. 8/27/2025 9:02:44 PM8/27/2025 9:02:44 PMProvider Magazine / Articles / CMS Overhauls RADV Audit Program for Medicare Advantage Plans In May, the Centers for Medicare and Medicaid Services (CMS) announced a major STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx20471830https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{541F98E5-C2AF-4BB6-AB00-15B220C1A7FA}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
Reminder MDS & Resident Assessments Roles and Responsibilities37895Regulations require nursing homes to initially and periodically conduct a comprehensive, accurate, standardized, reproducible assessment of each resident's functional capacity.8/25/2025 2:41:34 PM8/25/2025 2:41:34 PMProvider Magazine / Articles / Reminder MDS & Resident Assessments Roles and Responsibilities In recent months, federal and state regulators have demonstrated an increased STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx896970https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{B41F5776-28D1-42AB-B69E-C5692C5A5475}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
Rationalizing Regulations38055Harmon spoke with Provider about putting people over paperwork, advancing workforce development, and prioritizing innovation.8/26/2025 3:20:01 PM8/26/2025 3:20:01 PMProvider Magazine / Video Resources / ProviderTV / Rationalizing Regulations Holly Harmon, senior vice president of quality, regulatory, and clinical services at AHCA, spoke with STS_ListItem_850https://www.providermagazine.com/Video-Resources/ProviderTV/Pages/Forms/AllItems.aspx818360https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Video-Resources/ProviderTV{2D3504E0-AAD8-49ED-91E9-214A77108047}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_ProviderTV.js33;1633
CMS Posts FY24 SPSS Findings37997CMS annually assesses each State Survey Agency’s performance on measures included in the SPSS program. State Agencies must submit a corrective action plan for each SPSS measure that they did not meet in FY24 or partially met for the second consecutive year. 8/20/2025 3:56:00 PM8/20/2025 3:56:00 PMProvider Magazine / Articles / CMS Posts FY24 SPSS Findings CMS Posts FY24 SPSS Findings       8/20/2025 CMS Policy The Centers for Medicare & Medicaid Services STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx938470https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{A11C0ADD-6A39-4572-9E7F-454FC48B2FBE}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
Long Term Care Voices in Research: What We Are Doing and Why33395AHCA/NCAL helps shape and execute federally-funded research across the country that will deliver solutions to our members. 6/17/2025 8:47:02 PM6/17/2025 8:47:02 PMProvider Magazine / Articles / Long Term Care Voices in Research: What We Are Doing and Why AHCA/NCAL helps shape and execute federally-funded research across the country that will STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx1037370https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{2DF80EEB-5AE3-49C6-A17E-70270F0196C8}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
EBP and MDROs33279Infection prevention and control involves numerous interconnected elements, all of which must work together to keep residents, staff, and others safe and ensure regulatory compliance.6/2/2025 2:01:41 PM6/2/2025 2:01:41 PMProvider Magazine / Issues / 2025 / Summer / EBP and MDROs Back to Story EBP and MDROs       6/1/2025 Caregiving Policy MDROs are bacteria or fungi that STS_ListItem_850https://www.providermagazine.com/Issues/2025/Summer/Pages/Forms/AllItems.aspx1255520https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Issues/2025/Summer{85556771-D8D5-43D0-B936-7511594ACAB3}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_MagazineArticleFull.js32;1632
Medicaid Cuts Would Devastate Providers Serving ID/DD Populations33024Despite being the backbone of ID/DD care, Medicaid reimbursement rates often fall short of covering the actual cost of care, regardless of any future cuts. This underfunding has led to longer waitlists for home and community-based services programs, facility closures, and reduced access to timely, essential support that individuals desperately need. 10/10/2025 6:38:45 PM10/10/2025 6:38:45 PMProvider Magazine / Articles / Medicaid Cuts Would Devastate Providers Serving ID/DD Populations Medicaid cuts would be devastating to individuals with intellectual and STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx4781990https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{B53DFF69-F251-470B-8529-E436B6B60120}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
How to Structure Your Compliance Program2797 It is important that an organization have a formal compliance program as proactive and preventive; a structure to address issues; and as a mitigating factor should compliance violations be identified by regulatory agencies. 10/10/2025 6:32:47 PM10/10/2025 6:32:47 PMProvider Magazine / Articles / How to Structure Your Compliance Program How to Structure Your Compliance Program   Robert Rohr   1/21/2025 Management Policy STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx3975480https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{9255287C-93AA-40A2-AF16-6CE171FC48BC}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
4 Tips to Improve Section GG Coding Accuracy10311The four tips described here will help facility teams develop a process to ensure the accuracy of section GG items. 1/9/2024 2:57:27 PM1/9/2024 2:57:27 PMProvider Magazine / Articles / 4 Tips to Improve Section GG Coding Accuracy Although keeping it simple is often the easiest and most tempting way to complete a task, sometimes it STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx6025800https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{FC0CAA40-1571-4EAD-A98E-F5D8AD2329F0}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
Working Together to Advocate for Better Solutions with Mark Parkinson11328In this video interview, Parkinson outlines top legilsative and regulatory priorities for this year. 7/20/2023 1:54:22 PM7/20/2023 1:54:22 PMProvider Magazine / Video Resources / ProviderTV / Working Together to Advocate for Better Solutions with Mark Parkinson Mark Parkinson, president and CEO of the American Health STS_ListItem_850https://www.providermagazine.com/Video-Resources/ProviderTV/Pages/Forms/AllItems.aspx1801210https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Video-Resources/ProviderTV{22169DF3-6A55-4E93-8335-D9353E025B72}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_ProviderTV.js33;1633
Are D-SNPs Enough for Dual Eligibles in Long Term Care?116D-SNPs are tailored towards community-dwelling beneficiaries, they are generally designed to provide an infrastructure of care that already exists within an LTC facility. 2/13/2024 8:06:21 PM2/13/2024 8:06:21 PMAre D-SNPs Enough for Dual Eligibles in Long Term Care?   Steve Manning   5/2/2023 Medicare Policy In 2018 Congress permanently authorized the operation of STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx55601100https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{03150F9A-18B0-4F4A-8331-EE755CFB2D7D}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631
State Advocacy Efforts with Zach Shamberg11243Shamberg discusses Medicaid waivers and state advocacy efforts.10/12/2022 8:06:37 PM10/12/2022 8:06:37 PMProvider Magazine / Video Resources / ProviderTV / State Advocacy Efforts with Zach Shamberg State Advocacy Efforts with Zach Shamberg   10/13/2022 Policy STS_ListItem_850https://www.providermagazine.com/Video-Resources/ProviderTV/Pages/Forms/AllItems.aspx850190https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Video-Resources/ProviderTV{5A121E60-38BA-4933-814A-607946436B02}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_ProviderTV.js33;1633
Influencing the Future of the Long Term Care Industry with Andy Aronson11074Aronson discusses how educating regulators affects our future as an industry.9/29/2022 12:03:31 PM9/29/2022 12:03:31 PMProvider Magazine / Video Resources / ProviderTV / Influencing the Future of the Long Term Care Industry with Andy Aronson Bringing a unique background in health care law, Andy STS_ListItem_850https://www.providermagazine.com/Video-Resources/ProviderTV/Pages/Forms/AllItems.aspx5569160https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Video-Resources/ProviderTV{1ED7776A-E59D-447A-997D-054B8E6C6C16}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_ProviderTV.js33;1633
PDPM Data Trends Part IV10022“Spillover” occurs in non-COVID patient CMIs when minimum data set patient assessment item patterns change from what would have occurred if not for the pandemic.12/19/2022 9:40:41 PM12/19/2022 9:40:41 PMProvider Magazine / Articles / PDPM Data Trends Part IV PDPM Data Trends Part IV Unresolved COVID “Spillover Effects” in CMS Proposed PDPM Parity Adjustment Approach STS_ListItem_850https://www.providermagazine.com/Articles/Pages/Forms/AllItems.aspx1517540https://www.providermagazine.comhtmlFalseaspxhttps://www.providermagazine.com/Articles{84349236-D893-4F30-B0EE-5DE01CE0DADD}~sitecollection/_catalogs/masterpage/Display Templates/Content Web Parts/Item_BreakingNews.js31;1631

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