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Regulatory Update for the Week of 03/03/2022

Federal News and Information: Palmetto: Gap Billing Between Hospice Transfers There are new system edits to prevent gap billing between hospice transfers, additional instructions about hospice transfers to administer existing hospice benefit policy and revisions to Pub 100-04, Chapter 11, Section 20.1.3 – Change of Provider/Transfer Notice.  These changes can be accessed at:https://www.cms.gov/files/document/mm12619-gap-billing-between-hospice-transfers.pdf.   Texas […]

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Regulatory Update for the Week of 02/08/22

Texas Register   The following emergency rules were extended for 60 days with an expiration date of March 23, 2022: TITLE 26. HEALTH AND HUMAN SERVICES PART 1. HEALTH AND HUMAN SERVICES COMMISSION CHAPTER 550. LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS SUBCHAPTER C. GENERAL PROVISIONS DIVISION 1. OPERATIONS AND SAFETY PROVISIONS 26 TAC […]

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Regulatory Update for the Week of 02/04/2022

  New Mexico Legislative Session Timelines The Second Session of the 55th Legislature January 3, 2022 – January 14 Legislation may be pre-filed January 18 Opening day (noon) February 2 Deadline for introduction February 17 Session ends (noon) March 9 Legislation not acted upon by governor is pocket vetoed May 18 Effective date of legislation […]

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Regulatory Update for the week of 1/28/2022

Federal News and Information   Office of Inspector General (OIG) During 2022, the OIG Office of Audit Services will perform a nationwide review of hospice eligibility, focusing on those hospice beneficiaries that haven’t had an inpatient hospital stay or an emergency room visit in certain periods prior to their start of hospice care.  No further […]

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2021 Year In Review

  Federal January 21, 2021 – Public Health Emergency Extended for COVID-19 March 26, 2021 – Emergency Preparedness revised guidance to surveyors related to the emergency preparedness: QSO-21-15-ALL Updated Emergency Preparedness Guidance and Appendix Z. Sep 30, 2021 —The value-based insurance design (VBID) demonstration, known as the Medicare Advantage (MA) hospice carve-in, began in 2020. […]

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Regulatory Updates the week of 1/19/22

A Message from Max 2021 was a challenging year for all of us; a continuation of 2020!  Between the ongoing COVID-19 pandemic and the February winter storm everyone should have been worn out; but like troopers you kept on doing what you needed to do to meet your patients and family’s needs.  No sooner would […]

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Regulatory Updates for the Week 1/14/2022

Texas Register   Please share the following information with your nurses. TITLE 22. EXAMINING BOARDS PART 11. TEXAS BOARD OF NURSING CHAPTER 213.PRACTICE AND PROCEDURE 22 TAC §213.10– There is a new Texas Nurse Portal (Portal), which was launched on June 15, 2020. It is a paperless, confidential, and secure system that allows individuals to apply […]

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Regulatory Updates for the week of 1/7/2022

Texas Register   TITLE 26. HEALTH AND HUMAN SERVICES PART 1. HEALTH AND HUMAN SERVICES COMMISSION   CHAPTER 551. INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS SUBCHAPTER C. STANDARDS FOR LICENSURE 26 TAC §551.46 ICF/IID Provider Response to COVID-19 – Mitigation. CHAPTER 553. LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES SUBCHAPTER K. COVID-19 RESPONSE26 […]

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Regulatory Updates for the Week of 12-17-21

  Texas Register Emergency Rule Extensions On December 3, 2021, the following Emergency COVID 19 Rule was extended: TITLE 26. HEALTH AND HUMAN SERVICES PART 1.  HEALTH AND HUMAN SERVICES COMMISSIONCHAPTER 554. NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION SUBCHAPTER CC. COVID-19 EMERGENCY RULE 26 TAC §554.2802 Emergency Rules Title 26 (state.tx.us)   Federal News […]

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Regulatory Updates for the Week of 12-3-2021

Texas Register   Emergency Rule Extensions On November 19, 2021, the following Emergency COVID 19 Rules were extended: CHAPTER 553.LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES SUBCHAPTER K. COVID-19 RESPONSE 26 TAC §553.2004 CHAPTER 554.NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION SUBCHAPTER CC. COVID-19 EMERGENCY RULE 26 TAC §554.2804 Rules are available at the HHSC […]

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Regulatory Updates for the Week of 11-19-2021

Federal Register Survey Certification and Enforcement Procedures You will see in this packet that many chapters are being amended.  You will be interested in 42 Code of Federal Regulations Part 488 Survey, Certification and Enforcement Procedure.  This chapter addresses hospice survey and enforcement requirements.  CMS enhanced the hospice program survey process by requiring the use […]

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Regulatory Updates for the week of 11-12-2021

Federal Register Hospice providers, please be aware of the following! DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 416, 418, 441, 460, 482, 483, 484, 485, 486, 491 and 494 Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination–This interim final rule with comment period revises the […]

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Regulatory Updates for the Week of 11-5-2021

Texas Register  Notice of Public Hearing on Proposed Payment Rates for FFY 2022 Medicaid Community Hospice, Personal Attendant Services, and the Biennial Fee Review The Texas Health and Human Services Commission (HHSC) will conduct a public hearing on November 12, 2021, at 9:00 a.m. in the Public Hearing Room 125 of the John H. Winters […]

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Regulatory Updates for the Week of 10/29/2021

Federal News and Information   US Department of Health and Human Services (HHS) Renewal of Determination That A Public Health Emergency Exists As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19) pandemic, on this date and after consultation with public health officials as necessary, I, Xavier Becerra, Secretary of Health and […]

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Regulatory Updates for the Week of 10-15-2021

Texas Register  TITLE 26. HEALTH AND HUMAN SERVICES PART 1. HEALTH AND HUMAN SERVICES COMMISSION 26 TAC §558.960- HCSSA staff must comply with a long-term care facility’s infection control protocols when entering to provide essential services.  To review, go to:  https://www.sos.state.tx.us/texreg/archive/October82021/Emergency%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#5.    Federal News and Information  Palmetto GBA  Meet Your MAC Palmetto GBA is introducing a […]

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Regulatory Updates for the Week of 10-07-2021

Texas Register   TITLE 26. HEALTH AND HUMAN SERVICES PART 1. HEALTH AND HUMAN SERVICES COMMISSION CHAPTER 558. LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES SUBCHAPTER I. RESPONSE TO COVID-19 AND PANDEMIC-LEVEL COMMUNICABLE DISEASE 26 TAC §558.961–The Health and Human Services Commission is renewing the effectiveness of emergency new §558.961 for a 60-day period.   Original […]

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Regulatory Updates for the Week of 10/1/2021

Texas Register  Inpatient Hospice Providers, please note: TITLE 26. HEALTH AND HUMAN SERVICES PART 1. HEALTH AND HUMAN SERVICES COMMISSION CHAPTER 500. COVID-19 EMERGENCY HEALTH CARE FACILITY LICENSING SUBCHAPTER A. HOSPITALS 26 TAC §500.1–HHSC is adopting an emergency rule to allow a currently licensed hospital to operate an off-site inpatient facility without obtaining a new license at: […]

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Regulatory Updates for the week of 9/23/2021

Federal News and Information Centers for Medicare and Medicaid Services (CMS) Agency-Level Hospice Quality Measure (QM) Reports Now Include Claims-Based Measures QM Reports now include two measures based on Fiscal Year 2018 and 2019 Medicare claims data: the Hospice Care Index (HCI) and Hospice Visits in the Last Days of Life (HVLDL). Hospices can use […]

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Regulatory Updates for the Week of 9/16/2021

Federal News and Information Centers for Medicare and Medicaid Services (CMS) Hospice providers, please be aware that if you contract with a nursing facility you are defined as staff! QSO-20-38-NH REVISED 09/10/2021 Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) […]

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Regulatory Updates for the Week of 9/10/21

Texas Register TITLE 26. HEALTH AND HUMAN SERVICES PART 1. HEALTH AND HUMAN SERVICES COMMISSION CHAPTER 551. INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS SUBCHAPTER C. STANDARDS FOR LICENSURE 26 TAC §551.47–The Health and Human Services Commission is renewing the effectiveness of emergency new §551.47 for a 60-day period. CHAPTER 553. LICENSING STANDARDS […]

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