HHS Warns Against Using Antigen Results for Nursing Home Cohorting, But Sharply Criticizes State Ban

A top U.S. coronavirus testing czar had harsh words for a Nevada directive banning the use of antigen point-of-care COVID-19 tests in skilled nursing facilities during a press call on Friday, calling it “an uninformed and unlawful unilateral prohibition.” But Department of Health and Human Services (HHS) assistant secretary for health Adm. Brett Giroir also […]

CMS Clarifies Quality Reporting Rules After COVID Pause, Nursing Home Compare Frozen Until ’22

The federal government waived several reporting requirements for nursing homes during the COVID-19 pandemic, and while they have since been reinstated, the temporary pause will continue to have ripple effects on public data over the coming years. The Centers for Medicare & Medicaid Services (CMS) this week released an updated tip sheet explaining the agency’s […]

AHCA’s Parkinson: Nursing Homes Must ‘Look in the Mirror’ to Improve Care, Infection Control Post-COVID

While emphasizing that the industry is much better prepared to weather a potential revival of large COVID-19 outbreaks in the fall and winter, a top nursing home leader on Tuesday called on operators to use the hard lessons learned during 2020 to improve from within. “You cannot ignore the fact that probably close to 100,000 […]

Congress Gives Nursing Homes Two-Year Extension on Advance Medicare Repayments

A bill to fund the federal government and avert another shutdown also gave nursing home operators and other health care providers a significant extension on repaying advance Medicare payments offered through a COVID-19 stimulus program. The Senate passed and President Trump last week signed a continuing resolution that included a provision to delay recoupments from […]

CMS Updates Nursing Home Staff Testing Requirements with Eye Toward Rural Providers

The federal government on Tuesday tweaked its methodology for determining required nursing home COVID-19 testing frequencies under, with a specific focus on regions with relatively lower levels of total coronavirus testing information. In response to concerns from governors of rural states, the Centers for Medicare & Medicaid Services (CMS) changed some definitions of its color-coded […]

Citing ‘Over-Reliance’ on Nursing Homes, CMS Releases $165M for Community Transition Programs

The Centers for Medicare & Medicaid Services (CMS) on Wednesday announced $165 million in supplemental funding to states currently operating Money Follows the Person (MFP) demonstration programs, specifically citing COVID-19 as a key reason to encourage the movement of individuals from the nursing home setting into community resources. “The tragic devastation wrought by the coronavirus […]

Senators Excoriate Federal Response to COVID-19 in Nursing Homes, Hint at Future ‘Reckoning’

In an update to a report issued in July, two Democratic senators had sharp words for the federal response to COVID-19 in U.S. nursing homes, arguing that the Trump administration has failed to take sufficient action to protect nursing home residents and workers from the pandemic. They pointed in particular to policy solutions that multiple […]

CMS: Federal Nursing Home Visitation Guidelines Generally Trump State Rules, But Integration Ongoing

The federal government’s sweeping new rules requiring nursing home visitations in most cases generally usurp state-developed requirements, a top official confirmed this week, but Washington is continuing to work with state governments to iron out any significant areas of conflict. “Generally speaking, state guidelines cannot conflict with federal requirements,” Evan Shulman, director of the Centers […]

Skilled Nursing Residents Shut Out of New End-Stage Renal Disease Payment Model

The Centers for Medicare & Medicaid Services (CMS) on Friday announced the finalization of a new kidney-care payment rule, but the regulation specifically exempts patients who are receiving their dialysis treatment in the nursing home. The End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model is intended to test whether greater use of home dialysis and […]

CMS Updates Nursing Home Visitation Guidance with Eye Toward Indoor Reunions

The federal government on Thursday issued a new set of nursing home visitation guidelines, laying out a roadmap for resuming indoor visits based on community COVID-19 spread and emphasizing the importance of meeting residents’ psychosocial needs. The Centers for Medicare & Medicaid Services (CMS) unveiled the new recommendations in a memo to directors of State […]

Federal Nursing Home Commission Calls on CMS to Adopt 27 Recommendations, ‘Reduce Suffering’

A special federal commission on nursing homes and COVID-19 on Wednesday released its formal report, focusing foremost on testing, personal protective equipment, and visitation as the nation’s long-term care facilities continue to grapple with the novel coronavirus. The Coronavirus Commission for Safety and Quality in Nursing Homes laid out 27 primary recommendations for the Centers […]

CMS Floats New Infection Control Quality Measure for Nursing Homes

The federal government this week opened a public comment period on a proposed new quality metric that would measure each nursing home’s ability to curb the spread of infections. The Skilled Nursing Facility (SNF) Healthcare-Associated Infections (HAIs) Requiring Hospitalizations measure would track the rate of nursing home stays that result in acquired infections — specifically […]

CMS Formally Scraps MFAR, Averting Potential $50B in Medicaid Cuts

The head of the Centers for Medicare & Medicaid Services (CMS) announced Monday that the agency is withdrawing a controversial rule intended to overhaul Medicaid supplemental payments — a rule that could have put as much as $50 billion in jeopardy. “We’ve listened closely to concerns that have been raised by our state and provider […]

Verma Pushes Back on Criticism: ‘Administration Took Early, Rapid Action’ on Nursing Homes

After the New York Times editorial board published a piece criticizing the nation’s response to the effects of COVID-19 on nursing homes, the head of the Center for Medicare & Medicaid Services (CMS) raised several objections on behalf of the Trump administration. “The administration took early, rapid action: We issued infection control guidance to prepare […]

Verma: CMS to Use ‘Enforcement Discretion’ with New Nursing Home Testing Rules

Nursing home leaders should document all attempts to test workers for COVID-19 under strict new rules, officials said this week, as the federal government looks to balance enforcement with the reality of continued hurdles on the ground. “We want to ensure that we’re using enforcement discretion. We know that as we’re implementing this, there’s going […]

HHS Will Send 750K Abbott Point-of-Care Tests to Nursing Homes Next Week

The federal government will release approximately 750,000 point-of-care COVID-19 tests from manufacturer Abbott to nursing homes next week in a separate, parallel initiative that builds on a previously announced push to bring coronavirus tests directly to facilities’ doors. Initially positioned as a way to ramp up testing in schools, a Department of Health and Human […]