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:: NAHC Report
 
NAHC Report: Issue# 2393, 3/17/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Rule for Emergency Preparedness Proposes Significant Expansion of Home Health, Hospice Duties
National Council on Medicaid Home Care Reports on Most Recent MACPAC Public Meeting on Long-Term Services and Supports
For Your Information: 14 Days Remaining for Hospice Providers to Submit FY 2015 Reporting Cycle HQRP Data
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Rule for Emergency Preparedness Proposes Significant Expansion of Home Health, Hospice Duties
CMS seeks input on timing, other aspects of comprehensive rule

As reported previously in NAHC Report from January 8, 2014, in late December 2013 the Centers for Medicare & Medicaid Services (CMS) proposed a comprehensive set of emergency preparedness requirements affecting 17 different Medicare and Medicaid-participating provider types - including hospice and home health.  Subsequently, CMS extended the comment period for the regulations until March 31, 2014.

The proposed Conditions of Participation (CoP) and Conditions for Payment (CfP) were developed from a core set of requirements aimed at inpatient hospitals that were modified to address various other provider types (taking into consideration the populations they serve).  All designated provider and supplier types will be required to meet the following general requirements:

  • Risk assessment and planning (including establishment of an emergency preparedness program and development of an emergency plan that is subject to annual review and updating)
  • Policies and procedures (development and implementation of emergency preparedness policies and procedures based on the emergency plan that should be reviewed and updated on an annual basis)
  • Communications plan  (development and maintenance of an emergency preparedness communication plan meeting federal and state law and that is reviewed and updated annually) and
  • Training and testing (carrying out of initial training in emergency preparedness policies and procedures and thereafter on an annual basis; ensuring that staff are able to demonstrate knowledge of emergency procedures; conducting of exercises to test the emergency plan)

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National Council on Medicaid Home Care Reports on Most Recent MACPAC Public Meeting on Long-Term Services and Supports

The National Council on Medicaid Home Care – a NAHC affiliate – policy director Michelle Martin recently attended the latest public meeting of the Medicaid and CHIP Payment Access Commission (“MACPAC”). The Commissioners heard a panel on assessments in long-term services and supports (“LTSS”) titled “Assessment of Need for Medicaid Long-Term Services and Supports.” The panel was introduced by MACPAC Senior Analyst Angela Lello and included three presenters:

  • Lisa Alecxih, Senior Vice President, The Lewin Group
  • Charles Moseley, Associate Executive Director, National Association of State Directors of Developmental Disabilities Services
  • Jennifer Mathis, Deputy Legal Director and Director of Programs, Bazelon Center for Mental Health Law

The goal of the panel was to highlight the role that functional assessments play in service planning, and eligibility determinations, and how assessments are used to identify individuals with LTSS needs. The chapter on LTSS that will be included in MACPAC’s June 2014 report to Congress is intended to be only foundational, instead of including recommendations for Congress.  However, the MACPAC staff offered the panel regardless so that Commissioners would have a greater understanding of the role Medicaid plays in providing LTSS.

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14 Days Remaining for Hospice Providers to Submit FY 2015 Reporting Cycle HQRP Data
Deadline for data submission is 11:59 PM ET on Tuesday April 1, 2014

Hospice providers must submit their Hospice Quality Reporting Program (HQRP) Fiscal Year (FY) 2015 Reporting Cycle data no later than 11:59 PM ET on April 1, 2014 in order to avoid a 2 percentage point reduction in their FY 2015 Annual Payment Update. The FY 2015 Reporting Cycle consists of reporting on two measures: the structural measure and the National Quality Forum (NQF) #0209 pain measure collected during Calendar Year 2013.

Providers should visit the HQRP Data Entry and Submission Site now to create an account and submit their data. Data for each measure must be submitted to CMS by 11:59 PM Eastern Time on April 1, 2014 for FY 2015 payment determination. Providers may reference the Technical User’s Guide and Data Collection User Guide for guidance on account creation and data submission processes.

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