E-News Updates

On June 9th and 10th, Mass Senior Care members and staff traveled to Washington, DC to participate in the American Health Care Association and National Center for Assisted Living’s (AHCA/NCAL) Congressional Briefing. In meetings with members of the Massachusetts Congressional delegation, MSCA members discussed the vital importance of Medicaid funding to ensure access to quality nursing facility care and our grave concerns about any proposed cuts to the program.

On June 17, 2025, CMS announced that it is making permanent a pilot program to identify Medicare billing fraud through its newly created Fraud Defense Operations Center (FDOC).

Nursing facilities are reminded to remain diligent in their infection control practices to limit the spread of COVID-19 to residents and staff. At the expiration of the PHE, DPH released guidance on Organizational Policies and Procedures for Mitigating Respiratory Illness. Nursing facilities must continue to identify and monitor respiratory illness metrics to indicate when there are increased levels which may necessitate implementing these infection control measures.

On June 18, 2025, the Centers for Medicare & Medicaid Services (CMS) released QSO-25-20-NH Updates to Nursing Home Compare. In the memo, CMS notes several changes to how items are displayed on the website related to performance data for nursing home chains, standard survey cycles for the inspection rating, updated long-stay antipsychotic measures, and removal of the COVID-19 vaccine measures.

On June 18, 2025, CMS released QSO-25-19-ALL Release of CMS-2567: Statement of Deficiencies and Plan of Correction. CMS is updating their practice to align with the Nursing Home CMS-2567 process already in regulation. The Nursing Home CMS-2567 regulation allows the 2567 to be released within 14 days of transmission to the facility. This update does not change the current process for nursing homes.

The June 2025 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2026 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES).

CMS has posted the updated Appendix PP of the State Operations Manual (SOM) as outlined in QSO-25-14-NH.

CMS recently posted an updated version of the draft Minimum Data Set (MDS) 3.0 Item Sets v1.20.1v3 and draft Item Matrix v1.20.1v3. These are located in the Downloads section on CMS’ Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.

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