Skilled Nursing

  • Reminder: PRF reporting deadline is March 31

    March 16, 2023

    Members are reminded that they must submit their Reporting Period 4 Provider Relief Fund (PRF) reports if they received PRF payments between July 1 – Dec. 31, 2021. Providers who fail to report will be required to return funds received. LeadingAge national hosted a webinar with PRF experts from CLA on the updated reporting process in February and the recording of the webinar is available on the Learning Hub, here.
  • HRSA continues to send PRF repayment notices

    March 16, 2023

    These notices are being sent to non-compliant providers via certified mail and email. This is the first step in debt collection. Providers who believe that they have received a repayment notice an error (e.g., they are not required to return or submitted all required PRF reports) can seek a Decision Review. Providers only have 60 days from receipt of the notice to submit a decision review request. This is the final appeal process for all PRF decisions so it is critical that providers take action. More details on the notices and decision review can be found in this article.
  • Could state-based LTC insurance work

    March 16, 2023

    The Long-Term Care (LTC) Discussion Group’s monthly virtual meeting, set for March 30 from 2-3 p.m. will focus on “Exploring Stakeholder Perspectives on State-Based Catastrophic Long-Term Care Coverage.” Presenters John Cutler and John O’Leary will talk about their Society of Actuaries-sponsored study of various stakeholders’ views on backend (or catastrophic) coverage. The discussion will cover findings in the report, highlighting support and challenges for such a program, support (or not) for a mandatory program, concerns about the viability of a tax increase to support the program, and recognition of the value of working with existing programs (Medicaid and private LTC insurance).
  • Take Action! Call on Congress to “Get Real on Ratios”

    March 16, 2023

    As part of the Biden Administration’s nursing home care initiative, CMS is poised to issue a rule imposing a federal minimum staffing mandate. Please take action and help LeadingAge PA call on Congress to “Get Real on Ratios” and take legislative action to address the issue of a federal nursing home minimum staffing mandate within the reality of the current staffing and funding crisis. LeadingAge national’s proposal establishes six common sense conditions that must be met before mandatory nursing home staffing ratios can be implemented by the federal government. To ensure that federal action on a minimum staffing mandate is realistic and can achieve its intended effect, please join us in writing your member of Congress today and share your community’s perspective. Take action here!
  • Community HealthChoices RFI

    March 16, 2023

    The Department of Human Services (DHS) Office of Long-Term Living (OLTL) has released a Request for Information (RFI) to obtain input from stakeholders regarding the Community HealthChoices (CHC) program. Ahead of the anticipated re-procurement (and application for vendors to bid on program participation) of the CHC managed care organizations (“CHC-MCOs”), DHS hopes to become aware of and knowledgeable about stakeholder feedback regarding the current CHC program and any opportunities to strengthen the program for the benefit of participants. All responses to the RFI must be submitted by 12 p.m. on April 14, 2023 to RA-PWRFICOMMENTS@PA.GOV with “Community HealthChoices Re-Procurement RFI” in the email subject line. Please share your input with LeadingAge PA as well by sending your thoughts to Director of Regulatory Affairs Anna Warheit. This will help ensure our comments reflect and reinforce the input of our members.
  • FDA guidance on PHE ending

    March 16, 2023

    The Food and Drug Administration (FDA) published notice in the Federal Register on March 13 with updates to guidance documents issued during the public health emergency (PHE). Specifically, the FDA outlines which guidance documents will end with the PHE and which will be extended for a limited amount of time. FDA states, “Importantly, the ending of the PHE . . .will not impact FDA’s ability to authorize devices (including tests), treatments or vaccines for emergency use. Existing emergency use authorizations (EUAs) for products will remain in effect and the agency may continue to issue new EUAs going forward when criteria for issuance are met.” Read more here.
  • ERC and Medicaid Cost Reports and Rates

    March 16, 2023

    You may recall that some states had indicated that they would be treating Employee Retention Credit (ERC) funds like tax credits for the purposes of Medicaid cost reports and this had the potential to reduce future Medicaid nursing home rates. LeadingAge national along with the Agency for Health Care Administration (AHCA) met with CMS back in February to share our concerns with these practices and request CMS to take a position that they should be treated like other relief funds (one-time revenues). At that time, CMS asked for time to consider the issue. We have heard that CMS will be notifying states this week that the ERC funds should be treated like other COVID relief funds (e.g., PPP, PRF) and NOT like a tax credit on Medicaid cost reports.
  • MDOI payments to be processed in March

    March 16, 2023

    Medical Assistance Day One Incentive (MDOI) payments are anticipated to go out by the end of March. Both payments for this year are expected to go out either in the same remittance or just one or two weeks apart. The amounts have not yet been posted to the DHS website. LeadingAge PA has requested DHS post the amounts as soon as possible, and if they are unable to do so in a timely manner, to share the rates with the associations so we can share them with our members in advance of the payments going out. Please contact Regulatory Affairs Director Anna Warheit with questions.
  • Results of the LeadingAge national member snap poll and a blog post

    March 16, 2023

    Close to 900 LeadingAge members responded to LeadingAge national’s informal snap poll on workforce challenges, conducted between the end of February and the second week of March. Almost all nursing home respondents (92%) and 70% of assisted living provider respondents said their workforce shortage is significant or severe. Here is a brief article on the Toplines from the survey results and a blog post on the results and policy solutions for which LeadingAge national is advocating.
  • DOH Webinar recording and slides to be posted next week

    March 16, 2023

    On March 8, DOH presented a webinar hosted by LeadingAge PA and other state associations: “2023 PA State Nursing Facility Licensure Regulations: Guidance and Clarifications.” DOH has stated they are actively working to get the slides and webinar recording posted online and hope to have them published by next week. The materials will be posted directly to the DOH website.