LTC/SNF: CMS Flexibilities to Fight COVID-19

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

CMS has posted a Fact Sheet dated March 28, 2020 that outline recent emergency declaration and emergency rule making. These temporary changes will apply immediately across the entire U.S. healthcare system for the duration of the emergency declaration. This 5-page document provides a few details about these changes/waivers that apply to LTCs and SNFs.  I’m providing a synopsis of the contents but please review and share with your team!

  • Patients Over Paperwork
    • Transfers of COVID-19 Patients
    • 3-Day Prior Hospitalization
    • Reporting Minimum Data Set
    • Staffing Data Submission (PBJ)
    • Waive Pre-Admission Screening and Annual Resident Review (PASRR)
    • Resident Groups
    • Accelerated/Advance Payments
    • Provider Enrollment
  • Medicare appeals in Fee for Service, Medicare Advantage (MA) and Part D
  • CMS Facility without Walls (Temporary Expansion Sites)
    • Transfers of COVID -19 Patients
  • Workforce
    • Training and Certification of Nurse Aids
  • Medicare Telehealth
    • Physician visits in skilled nursing facilities/nursing facilities
  • Additional Guidance

I will see that there are no specific details or information provided for the MDS Reporting or Staffing Data Submission (PBJ).  I will continue to search for those and will provide in a future blog when I find them.