Jessica Tobin Grozine on Centers for Medicare & Medicaid Services (CMS)

UPDATE: CMS Finalizes Rule Requiring Greater SNF Ownership Transparency, Including Private Equity and REIT Disclosures, and...

The Centers for Medicare & Medicaid Services (“CMS”) released a final rule on November 15, 2023 (published on November 17, 2023) (the “Rule”), requiring greater skilled nursing facility (“SNF”) ownership transparency. The...more

12/7/2023 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Change of Ownership , Corporate Transparency Act , Disclosure Requirements , Internal Revenue Code (IRC) , Medicare , Nursing Homes , Private Equity , Real Estate Investments , REIT , Skilled Nursing Facility , Social Security Act , Transparency

Home Health & Hospice Quarterly - Q3

AGG’s Home Health & Hospice team publishes a quarterly newsletter covering legal and regulatory topics specific to the home and community-based healthcare industry. The fields of end-of-life and home healthcare present...more

10/6/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Home Health Care , Hospice , Medicare

CMS Proposes Expansion of 36-Month Rule to Include Hospice Providers

The Centers for Medicare & Medicaid Services (“CMS”) issued a Proposed Rule on July 10, 2023, that, if finalized, will revise the Medicare Provider Enrollment requirements to expand the current Home Health Agency (“HHA”)...more

8/29/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Home Health Agencies , Hospice , Medicare

CMS Announces Enhanced Oversight for New Hospices in Four States

Effective July 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) announced a period of enhanced oversight for new hospices in Arizona, California, Nevada, and Texas. According to the Medicare Learning Network...more

8/3/2023 / Centers for Medicare & Medicaid Services (CMS) , Change of Ownership , Health Care Providers , Healthcare Facilities , Hospice , Medicare , Medicare Administrative Contractors (MAC)

Proposed Rule Highlights Continued Push by CMS for Skilled Nursing Facility Ownership Transparency

In recent years, the Biden administration and Congress have pushed for greater transparency in skilled nursing facility ownership. In an effort focused on increased ownership disclosures specifically related to private equity...more

5/4/2023 / Centers for Medicare & Medicaid Services (CMS) , Medicare , Nursing Homes , REIT , Reporting Requirements , Skilled Nursing Facility , Transparency

Nursing Home Industry Group Recommends Policy Change Aimed at Ownership Transparency and Accountability

A group of individuals with ties to the nursing home industry recently published a commentary in the journal Health Affairs and opined that complex ownership structures used by many nursing home operators make it difficult to...more

3/3/2021 / Centers for Medicare & Medicaid Services (CMS) , Long Term Care Facilities , Medicaid , Medicare , Nursing Homes , Skilled Nursing Facility , Transparency

CMS Increases Scrutiny of Owners through Medicare Provider Enrollment Process

The Centers for Medicare & Medicaid Services (CMS) issued a final rule on September 5, 2019, intended to address program integrity and vulnerability issues....more

9/11/2019 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Enrollment , Medicaid , Medicare , OIG

GAO Report Calls for Increased CMS Oversight of Medicaid Services in Assisted Living Facilities

The Government Accountability Office (GAO) recently released a report entitled “Medicaid Assisted Living Services: Improved Oversight of Beneficiary Health and Welfare is Needed.” The report, released on February 5, 2018,...more

2/15/2018 / Assisted Living Facilities (ALFs) , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , GAO , Health Care Providers , Medicaid

Updates to National Plan and Provider Enumeration System (NPPES) Impact Physicians, Providers, and Suppliers

The Centers for Medicare & Medicaid Services (CMS) recently updated the National Plan and Provider Enumeration System (NPPES), which impacts all physicians, providers, and suppliers that use NPPES to obtain or maintain a...more

8/23/2017 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Physicians

2010’s Health Care Reform Refresher: Revisiting Day-to-Day Provider Obligations that Stem from the Patient Protection and...

President Donald Trump’s action to repeal 2010’s Patient Protection and Affordable Care Act (ACA) should not be a surprise. After all, President Trump, along with many other candidates for office, made repeal of the ACA a...more

2/8/2017 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , Department of Health and Human Services (HHS) , DMEPOS , Health Care Providers , Healthcare Reform , Nursing Homes , OIG , Trump Administration

MedPAC Opposes Medicare FY2017 Payment Increases for SNFs and Pushes for Payment Reform

The Medicare Payment Advisory Commission (MedPAC) issued a letter on May 25, 2016, commenting on the Centers for Medicare & Medicaid Services’ (CMS) proposed rule relating to payment updates for skilled nursing facilities...more

6/7/2016 / Centers for Medicare & Medicaid Services (CMS) , Medicare , MedPAC , Skilled Nursing Facility

CMS Begins Cycle 2 of Provider/Supplier Enrollment Revalidation

The Centers for Medicare & Medicaid Services (CMS) Division of Enrollment Operations is beginning Cycle 2 of the provider and supplier revalidation process, as required under Section 6401 (a) of the Affordable Care Act. CMS...more

3/15/2016 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Enrollment , Health Care Providers , Medicare

Jessica Tobin Grozine

Arnall Golden Gregory LLP

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