On February 8, CMS MLN Connects newsletter clarified for providers that “…hospice and skilled nursing facility medical directors and administrators are always considered managing employees for Medicare provider enrollment purposes. You must report all current managing employees. If you haven’t reported a medical director or administrator, report them now.”
Per an email to AHCA/NCAL from CMS, the information referenced in the MLN notice can be furnished via a CMS-855A change of information (COI) submission. SNFs can obtain info about the COI process for reporting SNF medical directors and administrators via the CMS enrollment website or by contacting their local MAC. This notice provides further clarification that providers should not wait for the revalidation and must submit any missing medical director or administrator via the COI submission as soon as possible.
Providers should reference the Medicare Program Integrity Manual on CY 2024 Home Health Prospective Payment System Updates MLN Matters article; it has more information on how that payment rule includes changes to the Medicare Program Integrity manual, including how CMS revised the definition of “managing employee” that also impacts SNFs.