CMS Delays Enforcement of Nursing Home Mega Rule
The Centers for Medicare & Medicaid Services ("CMS") recently announced that they will delay enforcement penalties related to Phase 2 of their revised nursing home Requirements for Participation (commonly referred to in the industry as the "Mega Rule").
The Mega Rule includes significant changes to the existing nursing home Requirements for Participation. CMS issued the Mega Rule on September 28, 2016 with three implementation phases. Phase 1 became effective on November 28, 2016. Phases 2 and 3 will become effective on November 28, 2017 and November 28, 2019, respectively. CMS announced that it would delay for one year the use of enforcement remedies (including civil monetary penalties, denial of payment, and termination or Medicare and/or Medicaid participation) for certain Phase 2 requirements.
While the one-year enforcement delay is good news for providers, it isn’t time for complacency when it comes to compliance. CMS noted that the one-year delay in enforcement is not a change in the required Phase 2 implementation date. If a facility is found to be out of compliance with Phase 2 requirements beginning on November 28, 2017, CMS may require the facility to undergo a directed plan of correction or additional directed in-service training.
CMS announced that the delay was issued in response to providers' concerns regarding the scope and timing of the Phase 2 requirements. The Phase 2 requirements include, for example, the development of an antibiotic stewardship program to combat multi-drug resistant organisms, as well as new requirements for medical chart review and psychotropic drugs.
In the same announcement, CMS stated that it will be holding constant the Nursing Home Compare health inspection rating for one year for any surveys conducted after November 28, 2017. This will ensure that facilities are being rated based on the same standards. CMS also released with its announcement (1) updated guidance for Appendix PP in the State Operations Manual; and (2) a revised list of F-Tags with a crosswalk of old tags to new tags. CMS will also provide on its website training materials for nursing facilities regarding these new requirements.
Jennifer has particular expertise in health law and she represents providers with emphasis in the areas of physicians, hospice, home care and long term care, including one of the country’s largest long-term care organizations. She has a vast array of experience in teaming with providers in the areas of regulatory compliance and contracts.View All Posts by Author ›
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Best Lawyers® 2020
Congratulations to the attorneys of the Health Care practice group at Foster Swift Collins & Smith, PC for their inclusion in the Best Lawyers in America 2020 edition. Firm-wide, 42 lawyers were listed. Best Lawyers lists are compiled based on an exhaustive peer-review evaluation and as lawyers are not required or allowed to pay a fee to be listed; inclusion in Best Lawyers is considered a singular honor. Health Care practice group members listed in Best Lawyers are as follows:
- Gilbert M. Frimet, Southfield
- Richard C. Kraus, Lansing
- Gary J. McRay, Lansing
- Jack A. Siebers, Grand Rapids/Holland
- Jennifer B. Van Regenmorter, Holland
To see the full list of Foster Swift attorneys listed in Best Lawyers 2020, click here.