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December 9th, 2015

Federal Regulatory, Legislative and Reimbursement Report – October-November-December 2015

CMS Antipsychotic Medication Use in Nursing Facilities Continues to Drop Nationally The National Partnership to Improve Dementia Care in Nursing Homes has released data indicating that antipsychotic use in skilled nursing facilities has dropped 21.7% over the past four years. Data compiled through the first quarter of 2015 indicate that nationally, 18.7% of nursing home Read the full article…

August 11th, 2015

Federal Regulatory, Legislative and Reimbursement Report – July-August-September 2015

CMS Emergency Medication Kits The federal regulation at 42 CFR 483.60 (F425) requires that the facility provides or obtains routine and emergency medications and biologicals in order to meet the needs of each resident.   In Kentucky, procedures and State laws allow the facility to maintain a limited supply of medications for use during emergency or Read the full article…

June 1st, 2015

Federal Regulatory, Legislative and Reimbursement Report – May-June 2015

CMS CMS Announces New Initiative To Promote Value-Based Home Health Care The Centers for Medicare and Medicaid Services (CMS) released the Home Health (HH) Prospective Payment System Rate Update, HH Value-Based Purchasing Model, and HH Quality Reporting Requirement proposed rule. Information on the proposed rule is available here through CMS. For more, click here. CMS Read the full article…

April 1st, 2015

Federal Regulatory, Legislative and Reimbursement Report – March-April 2015

Regulatory Update CMS CY2016 Final Rate Announcement and Call Letter CMS released the final 2016 Rate Announcement and Call Letter. Although the Call Letter did not contain any surprises, the pharmacy community is encouraged that CMS shares our concern over important issues such as medication therapy management, the adequacy of PDP pharmacy networks and the Read the full article…

February 1st, 2015

Federal Regulatory, Legislative and Reimbursement Report – January-February 2015

Regulatory Update CMS Federal Poverty Guidelines Update CMS recently released an informational bulletin regarding the 2015 updates to the federal poverty guidelines. By law, these updates are applied to eligibility criterion for programs such as Medicaid and the Children’s Health Insurance Program (CHIP). The 2015 Dual Eligible Standards have also been updated based on the Read the full article…