OIG Asks for Additional Member Feedback on Concurrent Review (Re-authorizations)
Office of the Inspector General (OIG) Staff had additional questions about where to find certain data points in a patient’s record or in Medicare Advantage (MA) plan records regarding concurrent review, and situations where...
Some Providers to get Gold Carded by UHC to Forgo Prior Authorizations
United Healthcare (UHC) announced it will start a gold carding program on October 1, 2024 that will let certain “qualifying practices” skip requesting prior authorizations for certain services. It is not yet clear if...
Federal Appeals Court Upholds Dismissal of Case Challenging HHS Policy on Home Health Aides
In an opinion issued August 9, the U.S. Court of Appeals for the District of Columbia Circuit upheld a federal trial court’s dismissal of a lawsuit alleging that U.S. Department of Health and Human...
Weekly Recap: August 14, 2024
Each week, LeadingAge experts curate timely, helpful resources on a variety of topics important to aging services providers.
Affordable Housing Weekly Update. Here is your weekly Affordable Housing Update.
Nursing Home Weekly Update. Here is your Nursing Home...
Reminder To Submit Involuntary Discharges to KDADS by End of August
During the 2024 legislative session, a policy proviso was passed in the budget requiring all state licensed only long-term care providers such as assisted living, residential healthcare facilities, and home plus residences to submit...
Registration for LeadingVoice Advocacy Bootcamp Now Open
Individuals interested in learning more about grassroots advocacy, the legislative process, and how to assist in making effective, positive change for aging services are welcomed to register for the LeadingVoice Advocacy Bootcamp. Meeting dates...
Bob Bethell KanCare Oversight Committee Meets Next Monday and Tuesday
Select legislators will return to the Capitol on Monday and Tuesday next week for the Bob Bethell KanCare Oversight Committee, which is currently led by Representative Brenda Landwehr. LeadingAge Kansas has submitted testimony and...
Wichita Area Providers: RSVP To Attend Wichita Area Candidate Meet and Greet September 10
Wichita area providers would have received an email blast last week from Kylee Childs with details on how to RSVP for the Wichita Area Candidate Meet and Greet by emailing ldean@kha-net.org. If you have...
Timeline Set for Parties to Submit Motions in Suit Challenging CMS Nursing Home Minimum...
The week of August 13 brought two legal developments relating to the CMS final rule establishing minimum staffing standards for long-term care facilities.
First, the United States District Court for the Northern District of...
CMS Subcontractors Conducting Unannounced Nursing Home Visits
LeadingAge heard from members with concerns about subcontractors without proper identification or documentation showing up for unannounced visits and who are required to take photos of the nursing home and skilled rehab. The inspector may...
Life Safety Update for Nursing Homes
The Healthcare Interpretations Task Force (HITF) is a unique coalition of healthcare organizations and authorities having jurisdiction and convenes annually to assess and discuss interpretations of specific questions related to NFPA codes and standards....
LeadingAge Submits Response to RFI on PEPPER
On August 19, 2024, LeadingAge submitted a response to a Request for Information (RFI) from the Centers for Medicare and Medicaid Services on the Program for Evaluating Payment Patterns Electronic Reports (PEPPERs). A PEPPER...