Skilled Nursing Facilities/Long-Term Care Open Door Forum

Overview: 

The Skilled Nursing Facilities / Long-Term Care Open Door Forum (ODF) addresses the concerns and issues of both the Medicare SNF, the Medicaid NF, and the nursing home industry generally. The types of issues that come up during this forum are often related to the Minimum Data Set, SNF Consolidated Billing, the roles and responsibilities of different SNF, NF or LTC professional staff under CMS regulations, clarifications of issues that are covered during a survey and certification process, and the many rules and requirements under which different related services can be payable. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.

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**Updated April 11, 2023- The proposed agenda for the next Skilled Nursing Facilities/Long Term Care Open Door Forum scheduled for Thursday, April 13, 2023 from 2pm-3pmET is as follows: Announcements & Updates: FY 2024 SNF PPS Proposed Rule (FY 2024 Updates to the SNF Payment Rates, Changes in PDPM ICD-10 Code Mappings); SNF Value Based Purchasing rule updates; SNF Quality Reporting Program Rule Updates; MDS v1.18.11 updates (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual; https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqimds30technicalinformation); MDS transition to iQIES (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursinghomeQualityInits/MDS30RAIManual; https://qtso.cms.gov/news-and-updates/action-required-register-iqies-account); PBJ Update (Policy Questions should be sent to NHStaffing@cms.hhs.gov; Technical Issues/Questions should be sent to iqies@cms.hhs.gov; Five Star Technical User’s Guide https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf; PBJ Website: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html); Overview of the Center of Excellence for Behavioral Health in Nursing Facilities (Website: https://nursinghomebehavioralhealth.org/, National Call Center: 1-844-314-1433, email: coeinfo@allianthealth.org, COE-NF contact information: Stacy Hull, Director Stacy.hull@allianthealth.org, Jacob Berelowitz, Program Manager Jacob.Berelowitz@allianthealth.org); Open Q&A. We look forward to your participation. If you wish to participate, dial: 1-(888)-455-1397, Participant Passcode: 4325849. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.