Publication includes information on Medicaid work requirements, other federal policy changes.

The proposals include some streamlined reporting for LHCSAs and nursing homes, rent subsidies for certain tenants in affordable senior housing, and extension of deadlines to respond to OMIG overpayment audits.

Member input is encouraged.

Supervision requirements for PTAs in nursing homes and home care appear to remain unchanged.

Non-compliance letters for home health CY 2027 APU issued and more.

Recent federal actions are creating new challenges for long-term care providers that face growing workforce shortages.

Following the publication of the Nov. 2^nd notice, full compliance with the HOTMA final rule and discretionary policies is mandatory for all resident income certifications with a Jan. 1, 2028 date or later.