Payroll Based Journal (PBJ) Policy Manual Updates, Notification to States and New Minimum Data Set (MDS) Census Reports
• Notification to States – The Centers for Medicare & Medicaid Services (CMS) will provide CMS Regional Offices (ROs) and
State Survey Agencies with a list of facilities with potential staffing issues to support survey activities for evaluating
sufficient staffing and improving resident health and safety.
• Updates in the PBJ Policy Manual and Frequently Asked Questions (FAQs) – We are expanding the guidance on the meal breaks
policy to ensure consistency. In addition, we are adding guidance regarding reporting hours for “Universal Care Workers.”
• Additional Technical Support for Facilities – New MDS-based census reports in the Certification and Survey Provider Enhanced
Reporting (CASPER) system.