Centers for Medicare and Medicaid Services Issues Final Rule.
Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS- 1696-F] outlining proposed Fiscal Year (FY) 2019 Medicare payment rates and quality programs for skilled nursing facilities (SNFs). The FY19 final rule establishes a market basket increase of 2.4 percent, a figure statutorily mandated by Congress, and will start October 1, 2018.
Based on changes contained within this final rule, CMS indicates aggregate payments to SNFs will increase in FY19 by $820 million, or 2.4 percent, from payments in FY18 - $30 million less than in the Notice of Proposed Rulemaking. AHCA is exploring potential issues with FY19 rates and impact analysis. At the same time, CMS notes that the overall economic impact of the SNF Value-Based Purchasing Program (VBP) is an estimated reduction of $211 million in aggregate payment to SNFs during FY19.
AHCA also held a webinar today, Wednesday, August 1, 2018. If you were unable to join or would like another opportunity to view, a recording is available here on ahcancalED.
As a reminder, AHCA's summary of the final rule is available here, and you can view AHCA's member email regarding the final rule here. (Please note that an AHCA/NCAL member log-in is required to view these documents.) The FY19 Final Rule is posted here, as well as the fact sheet here. The FY19 SNF PPS wage index will be available in the coming weeks.
New Mexico Statewide Immunization Registry
The New Mexico Department of Health will hold a public hearing on the adoption of a new rule, 7.5.5 NMAC, “New Mexico Statewide Immunization Registry” or NMSIIS, on September 13, 2018, in Santa Fe. The proposed rule will add sanctions to entities, including long-term care facilities, that may be non-compliant with reporting immunization information to the statewide registry.
NMSIIS reporting has been in effect for long-term care since 2013 and is mandatory for all immunization providers. If your facility has not already started immunization reporting, you must first contact the New Mexico Department of Health Help Desk at 1-800-280-1618 or 505-476-8526 and register, along with getting training for reporting any immunizations given by facility. To visit the NMSIIS website click here. A training video is available here.
For further information, please contact Pat Whitacre at the NMHCA office, 505-880-1088 or firstname.lastname@example.org.