Volume XXX, Number 8
 August 2015

Proposed Changes to SNF/NF Medicare and Medicaid Requirements

CMS issued a proposed rule change for the SNF/NF Medicare and Medicaid Requirements for Participation on Monday July 13th 2015. The rule is very large in scope and contains both new requirements and some requirements that have already been issued by CMS via Survey & Certification memoranda. The formatted version of the NPRM proposing changes to the SNF Requirements for Participation is available in the Federal Register, with a deadline for comments submission of 5:00 pm on September 14, 2015.

On August 11, CMS is hosting a call for providers and stakeholders during which they will briefly walk through the many changes in the proposed rule.

The agenda for the call is:

  • Highlights of the proposed rule
  • Overarching themes of the proposed rule
  • Methods for reviewing and commenting on the proposed rule.

According to the announcement, a question and answer session will follow the presentation. Registration is required. CLICK HERE for additional information.

Section Reference of the Proposed Rule

  • Resident rights (§483.10)
  • Facility responsibilities (§483.11)
  • Freedom from abuse, neglect, and exploitation (§483.12)
  • Transitions of care (§483.15)
  • Resident assessments (§483.20)
  • Comprehensive resident-centered care plans (§483.21)
  • Quality of care and quality of life (§483.25)
  • Physician services (§483.30)
  • Nursing services (§483.35)
  • Behavioral health services (§483.40)
  • Pharmacy services (§483.45)
  • Laboratory, radiology, and other diagnostic services (§483.50)
  • Dental services (§483.55)
  • Food and nutrition services (§483.60)
  • Specialized rehabilitative services (§483.65)
  • Administration (§483.70)
  • Quality assurance and performance improvement (§483.75)
  • Infection control (§483.80)
  • Compliance and ethics program (§483.85)
  • Physical environment (§483.90)
  • Training requirements (§483.95)

Some of the proposed changes/requirements that stand out:

  • Quality Assurance and Performance Improvement (QAPI) programs;
  • Baseline care plan for each resident within 48 hours of admission;
  • Compliance and ethics programs;
  • Discharge planning;
  • Facility assessment which aims to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies; and
  • A more comprehensive Infection Prevention and Control Program including an Infection Prevention and Control Officer.
  • Comments on the use of arbitration agreements

All members are strongly encouraged to submit comments, given the impact these changes will have on nursing facilities. We need as many members to submit comments as possible to show the importance and concerns raised by CMS.

President’s Report


 Legislative Update


 Commitment to Care

If you have any questions about the THCA C to C Initiative or would like to share your facilities successes please contact me at gbwilliams@txhca.org or call (512) 458-1257.


State News


National News

  • Proposed Changes to SNF/NF Medicare and Medicaid Requirements


Announcements & Recognitions

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Attendee registration open, register now for early bird pricing



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