This is Part Two of a Ten-Part CMA Issue Brief Series to examine, and inform work to resolve, the growing crisis in access to Medicare home health coverage and necessary care. We invite you to follow this Series and provide Medicare home health … [Read more...] about Brief Description of Medicare Home Health Coverage Under the Medicare Act
issue-brief
Overview: The Crisis in Medicare Home Health Coverage and Access to Care
Today the Center for Medicare Advocacy launches a Ten-Part Series to examine and continue work to resolve the growing crisis in access to Medicare home health coverage and necessary care. We invite you to follow this Series and provide Medicare home … [Read more...] about Overview: The Crisis in Medicare Home Health Coverage and Access to Care
Mandatory Nurse Staffing Levels
Mandating specific levels of direct care nursing staff would seem to be a straightforward method to improve staffing in nursing facilities. If more nursing staff are needed, why not simply require facilities to employ more nurses? The … [Read more...] about Mandatory Nurse Staffing Levels
Federal Initiatives that May Affect Nurse Staffing Levels
This project has produced a series of short papers evaluating various state approaches to improving nurse staffing levels at nursing facilities. The papers have addressed state-mandated nurse staffing levels, wage pass-throughs, increasing … [Read more...] about Federal Initiatives that May Affect Nurse Staffing Levels
Staffing Requirements: The Revised Requirements of Participation
On October 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published revised Requirements of Participation (RoP) for skilled nursing facilities (Medicare) and nursing facilities (Medicaid).[1] Although the substantive standards … [Read more...] about Staffing Requirements: The Revised Requirements of Participation
Issue Brief: CMS Issues New Rules Governing Medicare Appeals
CMS recently finalized significant changes affecting Medicare appeals, particularly at the Administrative Law Judge (ALJ) level of review. These changes apply to appeals of payment and coverage determinations for items and services furnished to … [Read more...] about Issue Brief: CMS Issues New Rules Governing Medicare Appeals
Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant
If Medicaid becomes a block grant program, nearly one million nursing home residents who rely on Medicaid could immediately lose coverage for their nursing home care. In addition, all of the federal standards that govern nursing home care today … [Read more...] about Issue Brief: Nursing Home Residents in Jeopardy if Medicaid Becomes a Block Grant