CMS Issues Post-Acute Care Payment Proposed Rules
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its proposed payment policies for inpatient rehabilitation facilities (IRFs), skilled-nursing facilities (SNFs), and hospices for federal fiscal year (FFY) 2025.
What else to know: Comments on the proposed rules are due to CMS by 2 p.m. (PT) on May 28.
CMS Issues FFY 2025 Inpatient Psychiatric Facility PPS Proposed Rule
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued its federal fiscal year (FFY) 2025 inpatient psychiatric facility (IPF) prospective payment system (PPS) proposed rule.
What else to know: Comments are due to CMS by 2 p.m. (PT) on May 28.
State Regulators, Hospital Leaders to Share Best Practices for Program Flex Requests
What’s happening: On April 24 from 9-10:30 a.m. (PT), CHA will host a members-only webinar to discuss trends and lessons learned related to program flex requests.
What else to know: Presenters include leadership from the California Department of Public Health and hospital leaders.
CHA Translates Required Patient Language Assistance Taglines
What’s happening: Regulations recently adopted by the Department of Health Care Access and Information (HCAI) under the Hospital Fair Pricing Policies Law require hospitals to provide “taglines” on patient documents in several different languages.
What else to know: The taglines inform patients that language assistance services are available and how to access them. CHA has included a tagline sheet with translations in 18 languages.
CDPH’s Centralized Application Evolution
The Center for Health Care Quality (CHCQ) licenses and certifies over 14,000 health care facilities and agencies in California in 30 different licensure and certification categories. Keeping licensing and certification practices consistent throughout California can be challenging. The Centralized Program Flex Unit (CPFU), a division of CHCQ, has a mission to ensure standardization and consistency […]
CHA Summary: Proposed Changes for Oversight of Accrediting Organizations
What’s happening: CHA is sharing its summary of the Centers for Medicare & Medicaid Services’ (CMS) proposed rule intended to strengthen oversight of accrediting organizations (AOs) such as The Joint Commission and Det Norske Veritas.
What else to know: While the proposed policies are applicable to AOs, several proposed changes will affect hospitals and health systems that rely on AO accreditation.
Changes Proposed for Accrediting Organizations Requirements
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued proposed changes to accrediting organization (AO) requirements.
What else to know: The proposed changes are intended to strengthen the agency’s oversight of AOs and prevent conflicts of interest. Comments are due to CMS by 2 p.m. (PT) on April 15.
CMS Provides “Two-Midnight Rule” Guidance for Medicare Advantage Plans
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued a frequently asked questions (FAQ) document on finalized contract year 2024 Medicare Advantage (MA) policies.
What else to know: The document provides guidance on how the “two-midnight” hospital admissions policies apply to MA patients when MA organizations are permitted to deny payment through post-claim audits.
Changes Finalized to Substance Use Disorder Record Sharing Rules
What’s happening: The U.S. Department of Health and Human Services (HHS) issued long-awaited regulations implementing changes to requirements for sharing substance use disorder (SUD) patient data.
What else to know: The CHA-supported regulations are intended to better align SUD record-sharing rules with Health Insurance Portability and Accountability Act (HIPAA) requirements.
CMS Issues Advance Notice of Proposed Medicare Advantage Payment Changes
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued advance notice of proposed changes to Medicare Advantage (MA) Part C and Part D payments for calendar year 2025.
What else to know: Comments are due to CMS by 2 p.m. (PT) on March 1.