The Center for Medicare Advocacy is pleased to periodically provide guest posts on issues related to our work, including the need to address the long-term care crisis in our country. This article, from Ronald Phillips of Waldoboro, Maine, discusses … [Read more...] about Guest Post | Family Caregivers – An Untapped Resource
Archives for May 2026
Center Submits Comments on Medicare Reimbursement for Skilled Nursing Facilities
The Center for Medicare Advocacy has submitted comments on the proposed annual update for Medicare reimbursement for skilled nursing facilities. The Centers for Medicare & Medicaid Services (CMS) predicted in 2018 that implementation of the new … [Read more...] about Center Submits Comments on Medicare Reimbursement for Skilled Nursing Facilities
New Resource | Medicare Coverage for Home Health Aides
Medicare can help older adults and people with disabilities obtain necessary care at home. When individuals meet the home health benefit criteria, Medicare-covered care can include home health aide services as well as skilled nursing and therapies … [Read more...] about New Resource | Medicare Coverage for Home Health Aides
Free Webinar | Medicare Savings Programs
DescriptionJoin us June 16, 2026 at 2:00 ET via live webcast!This webinar will outline the vital role Medicare Savings Programs (MSPs) play in the health and financial security of millions of Medicare beneficiaries, the current obstacles to … [Read more...] about Free Webinar | Medicare Savings Programs
CMA Initiative to Act Locally, Think Globally
CMA is grateful to the Jeffrey P. Ossen Family Foundation for renewing its grant to continue our Community Outreach & Education Project (COEP). COEP is part of CMA’s ongoing collaboration with multi-disciplinary organizations to better serve … [Read more...] about CMA Initiative to Act Locally, Think Globally
Confusion Over a Qualifying Hospital Stay? SNF Residents Should Not Be Overpromised Coverage
Medicare will only cover care in a skilled nursing facility (SNF) after a qualifying hospital stay—an inpatient hospital stay of at least 3 days in a row. Most Medicare Advantage plans waive this requirement, but it remains a barrier to SNF coverage … [Read more...] about Confusion Over a Qualifying Hospital Stay? SNF Residents Should Not Be Overpromised Coverage
Know Jimmo | Documentation Tips
New Documentation Guidance was included in the Jimmo Manual revisions.Nurses and therapists should document what they do and why. If improvement is occurring, note it. If the goal is, or includes maintenance or changes to maintenance, make sure … [Read more...] about Know Jimmo | Documentation Tips
Don’t Pay Twice: Protecting Yourself from Illegal “Administrative Fees”
Periodically, we get calls at the Center asking if a physician participating in Medicare can charge an “administrative” or “annual” fee to patients covered by Medicare. Medicare prohibits such a fee for participating providers.Why These Fees Are … [Read more...] about Don’t Pay Twice: Protecting Yourself from Illegal “Administrative Fees”
Proposed Rule for Skilled Nursing Facility Reimbursement Rates Published
The Centers for Medicare & Medicaid Services (CMS) has published its annual update to Part A reimbursement of skilled nursing facilities in traditional Medicare. 91 Fed. Reg. 17678 (Apr. 7, 2026). CMS reports that the highest case-mix adjusted … [Read more...] about Proposed Rule for Skilled Nursing Facility Reimbursement Rates Published
Know Jimmo | A Summary
Per CMS: “This is long-standing criteria, consistent with regulations”See cms.gov/medicare/settlements/jimmo … [Read more...] about Know Jimmo | A Summary