As of January 2026, the Centers for Medicare & Medicaid Services (CMS) will add a new method for capturing antipsychotic medication use among long-stay residents...
Category: News
Skilled Nursing Facility Data Validation Process
The Skilled Nursing Facility data validation process assesses the accuracy of Minimum Data Set (MDS)-based quality measures used in the SNF Value Based Purchasing (VBP)...
Respiratory Virus Outbreak Toolkit Upate
The Pennsylvania Department of Health has revised the Respiratory Virus Outbreak Toolkit. This was revised on November 24, 2025, from the 2024 version. This is...
Quality Measures User’s Manual (v17.0) issued by the Centers for Medicare and Medicaid Services (CMS)
The Centers for Medicare and Medicaid Services (CMS) issued version 17.0 of the MDS 3.0 Quality Measures User’s Manual which was effective January 1, 2025....
Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
The Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services (DHS) issued the final rule for FY 2026 for the PPS...
Pennsylvania Medicaid Case Mix Index Reimbursement system Transitions to PDPM
Pennsylvania is transitioning to the Patient Driven Payment Model (PDPM) for the setting of the Medical Assistance (MA) payment rates for nursing homes. This regulation...