|NM Food Service Regulations Update
In 2016, the NM Environment Department proposed new Food Service and Food Processing Regulations that modified Food Handler Card requirements. The proposed requirement would have required all employees who handle any foods to acquire a Food Handler Card.
For the last two years, NMHCA has been advocating on your behalf to revise the proposed regulations to ensure that they do not create a regulatory burden for the direct care staff in your facilities.
As a result, the Environment Department has revised their proposed regulations so that those direct caregivers (and other employees) whose primary job function and/or job duties DO NOT include preparing and/or serving food will NOT be required to have Food Handler Card. Click here for a summary of the proposed changes to the regulation, including a comparison of the 2016 version and the proposed 2018 changes. Click here for a red-line copy of the proposed regulations.
United Healthcare Member Transition
On Tuesday, NMHCA hosted a conference call with Presbyterian Health Plan (PHP) for NMHCA members to speak directly with leadership from PHP regarding the transition, contracting, and claims issues. Over 50 members participated in the call and asked various questions regarding the transition.
Leadership from Presbyterian Health Plan appreciated the opportunity to speak with long-term care providers. They also provided NMHCA with contact information for their leadership team in case any members had any additional questions, comments, or concerns.
Jentry Hinton, Executive Director of Clinical and Long-Term Care Operations, 505-923-8127, firstname.lastname@example.org
Brittany Maldonado, Director of Long-Term Care (Supporting LTC Nursing Facility and Agency Based Community Benefit), 505-923-5765, email@example.com
Shannon Smith, Director of Special Programs (Supporting LTC Utilization Management and Self-Directed), 505-269-4406, firstname.lastname@example.org
Lane Evans, Director of Health Services (Supporting PH Care Coordination and Inpatient UM), 505-923-5463, email@example.com
Quality Improvement Evaluation System
The Centers for Medicare & Medicaid Services (CMS) has released the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Confidential Performance Score Reports, which contains each SNFs payment adjustment for FY 2019 along with information on rehospitalization rates and scores used to calculate payment adjustments beginning October 1, 2018. These reports are available to access in the CASPER system as of last Thursday, August 2. Visit ahcancalED to view a short video on how to read and understand the Performance Score Reports and your payment adjustment.
Details on how to access your reports via the Quality Improvement Evaluation System (QIES) and the CASPER reporting application can be found here. Please contact the QIES Technical Support Office (QTSO) Help Desk at firstname.lastname@example.org if you need assistance in accessing CASPER/QIES.
For more information on the SNF VBP program and to access tools and resources on ahcancalED and other sites visit AHCA's VBP website here.
AHCA will also host a Preventing Hospital Readmissions session on Monday, October 8 at the Annual Convention & Expo in San Diego. Learn more and register here.