CMS Requests Comment on Proposed SNF-based Hospice Cost Report Changes
May 4, 2015 11:24 AM
The Centers for Medicare & Medicaid Services (CMS) is in the process of revising and expanding cost reporting requirements for hospice organizations to collect data on costs by level of care and to expand the hospice General Cost Centers. During 2013 and early 2014, the hospice community commented on cost reporting changes for freestanding hospices. The final changes for freestanding hospices were issued in late August 2014 and became effective for cost reporting years starting on or after Oct. 1, 2014. Proposed changes to the cost-reporting requirements for hospital-based hospices were issued for comment earlier this year and will be subject to one additional comment period prior to finalization (previous NAHC Report coverage on this topic is available here, here and here).
On May 1, 2015, CMS posted in the Federal Register a notice soliciting public comment on proposed cost reporting changes for the Skilled Nursing Facility (SNF) and Skilled Nursing Facility Health Care Complex Cost Report Form (Form Number CMS-2540-10), which will include significant changes for SNF-based hospice programs that are expected to mirror the changes made for freestandings and those proposed for hospital-based hospices. The notice provides for a 60-day comment period on the changes; an additional 30-day comment period will be announced at a later date.
While the notice will be available in the Federal Register, accompanying documents (including the forms and instructions) are posted separately on the CMS Paperwork Reduction Act (PRA) Review page. Process-wise it usually takes a few days for the actual forms and instructions to post on the CMS website. When they are available, they will be posted at: http://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html ).
The National Association for Home Care & Hospice (NAHC) welcomes comment from stakeholders on the proposed cost report changes for SNF-based hospices; please send any comments to Theresa Forster at firstname.lastname@example.org. Please watch NAHC Report and the NAHC Member Listservs for further developments.