The new guidance clarifies the New York State Medicaid program's telehealth policy following the end of the COVID-19 Public Health Emergency on May 11, 2023.

Applications for the Bundled Payments for Care Improvements Advanced Model for 2024-2025 are due May 31, 2023.

CMS has updated the list of HCPCS codes subject to the consolidated billing provision of the SNF PPS. Codes for blood clotting factors have been added to the Medicare Part B SNF files.

An opportunity to learn about new reporting requirements for those who need to report on Provider Relief and ARP Rural Funding.

The document available here provides 2023 budgeting guidance for LeadingAge NY nursing home members, specifically on Medicare and Medicaid funding issues. It is designed to help members as they finalize budgets for the following year. Although laid out as a slide presentation, each issue is described in narrative detail with links to helpful resources.

DOH answered questions related to applications from nursing homes that are part of larger systems and county nursing homes.

LeadingAge NY submitted detailed written comments on the CMS SNF PPS Proposed Rule. The comments focused on the proposed recalibration of the PDPM parity adjustment, the market basket index, VBP, QRP, and CMS's request for input into possible staffing requirements.

In Barrows v. Becerra, the Second Circuit held that decisions to reclassify patients from inpatients to patients receiving outpatient observation services implicate the patients' due process rights and that the HHS Secretary must provide a mechanism to appeal the reclassification decisions.