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Pennsylvania Department of Health and other state news

The CMS and other Federal News

The Pennsylvania 2022-23 State Budget was approved on July 11, 2022 with a 17.5% increase in Medicaid budget for Skilled Nursing Facilities. This is the first increase in Medicaid funding in almost a decade. 

The increase is $250 million for nursing facilities, care workers, and long-term care facilities. This increase has a requirement that 70% of the funding go toward resident care spending. The focus is on increasing hourly rates for staff to increase the staffing levels to all facilities. The budget highlights can be found here

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Please join the Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention on Wednesday October 5, 2022 at 3:30pm ET for a National Nursing Home Stakeholder Call. Long-term care providers, facility staff and resident advocates are encouraged to attend. This event is open to the public; registration is required.


Public Health Emergency Declaration continues.

The PHE, Public Health Emergency declaration was renewed on October 13, 2022. For a complete list click the link.

NOW AVAILABLE-Draft Minimum Data Set (MDS) Nursing Home Comprehensive (NC) Item Set

The draft Minimum Data Set (MDS) Nursing Home Comprehensive (NC) Item set version 1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. CMS plans to release the final version of the MDS Item Sets later in 2022, which will be effective beginning October 1, 2023.

The link can be found here;

Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual | CMS

SNF and IRF QRP Quality Measure Calculations and Reporting Users Manual V4.0 and Accompanying Documents Now Available

The Skilled Nursing Facility (SNF) and Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) Quality Measure Calculations and Reporting Users Manual Version 4.0, Change Table, Risk Adjustment Appendix File, and Hierarchical Condition Categories (HCC) to International Classification of Diseases (ICD) -10 Crosswalks are now available. These documents serve as an update to the specifications used to calculate quality measures that are included in the SNF and IRF QRP effective October 1, 2022.

For more information, please visit the CMS SNF QRP Measures and Technical Information or the CMS IRF QRP Quality Reporting Measures Information website.