Jessica Tobin Grozine on Medicare

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

CHOW Considerations for Medicare Chain Providers: The Importance of Knowing Your MAC

All Medicare providers must update their enrollment information to reflect changes in ownership (CHOWs) within 30 days after the CHOW. Providers must report CHOWs to the applicable Medicare Administrative Contractor (MAC)....more

7/21/2021 / Change of Ownership , Health Care Providers , Medicare , Medicare Administrative Contractors (MAC)

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

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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