Tell Us What You Think of the FY2022 Proposed Hospice Changes

Separate Surveys Allow for Input on Proposed Quality Changes, Election Statement Addendum and CoP Proposals, and Payment/Utilization Trend The Centers for Medicare & Medicaid Services (CMS) issued its FY2022 proposed hospice payment rule in mid-April.  Among its items the rule proposes numerous changes for hospice quality measures, a significant change to the “labor shares” of…

Building Capacity in the Direct Service Workforce: Moving Forward from the Summit

On April 28, 2021, in follow-up to their December Summit, the Centers for Medicare & Medicaid Services (CMS) hosted a webinar entitled “Building Capacity in the Direct Service Workforce: Moving Forward from the Summit.”

The session focused on three key subject areas including:

  • Person-Centered Practice- Delivering Quality Supports People Want
  • Coordinating Care Across Systems and Settings
  • Professional Development- Building Key Competencies

It is encouraging that CMS is showing its commitment to the direct service workforce and is actively looking for insight and collaboration across sectors to address the existing workforce challenges. The conversation and participation at this webinar session was lively and many representatives from various organizations and states were sharing their perspectives on opportunities but also discussing innovative solutions. 

Overview and resources shared from the session can be found HERE.

CMS plans on extending invitations in the near future to state Medicaid agencies to participate in a learning collaborative aimed at discussing and developing new strategies for addressing direct service worker issues. You can ask for more information by emailing HCBS-learning@lewin.com

Billing for E&M Services: Cognitive Assessment and Care Planning

Transmittal 10718/Change Request (CR) 12247, released April 26, 2021 by the Centers for Medicare & Medicaid Services (CMS) provides instructions to Medicare Administrative Contractors (MACs) for outreach and education on cognitive assessment and care planning services provided by physicians, physician assistants, nurse practitioners and other clinicians able to bill for Evaluation and Management (E&M) services. CMS is…

CMS Webinar: Building Capacity in the Direct Service Workforce: Moving Forward From the Summit

Wednesday, April 28, 2021 3:00-4:30 PM ET Webinar Registration The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar to advance learning and share recommendations from the intensive on Quality Jobs Equal Quality Care: Building Capacity in the Direct Care Workforce that was held at ADvancing States’ Home and Community-Based Services (HCBS) Conference on December…

CMS Webinar: Building Capacity in the Direct Service Workforce: Moving Forward From the Summit

The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar to advance learning and share recommendations from the intensive on Quality Jobs Equal Quality Care: Building Capacity in the Direct Care Workforce that was held at ADvancing States’ Home and Community-Based Services (HCBS) Conference on December 3, 2020.

The direct service workforce (DSW) plays a key role in efforts to rebalance long-term services and supports systems from institutional to community-based services. Direct service workers provide essential support for many people, contribute to overall health care quality, and promote community inclusion and independence.

Many stakeholders can help to build the capacity of the DSW, but state Medicaid agencies are uniquely positioned to lead changes. This webinar will highlight capacity building strategies shared by states during the HCBS Conference intensive. The webinar is open to the public and will focus on strategies for state Medicaid agencies, state agency partners, managed care plans, and HCBS providers.

By the end of this interactive webinar, participants will:

  1. Learn more about DSW challenges, approaches, and promising practices related to providing person-centered care, coordinating care across settings and systems, and encouraging professional development.
  2. Hear directly from state Medicaid agencies about promising practices supporting capacity building in the DSW.
  3. Provide feedback through interactive polling and discussion on the recommendations identified by participants of the HCBS Conference intensive.
  4. Find out more about an upcoming learning collaborative and other future DSW learning opportunities for state Medicaid agencies.

Featured Facilitators

  • Michelle Reynolds, PhD, University of Missouri Kansas City (UMKC), Director of Individual Advocacy and Family Support, UMKC Institute for Human Development
  • Erika Robbins, Vice President, The Lewin Group
  • Barbara Kleist, Program Manager, Institute on Community Integration, University of Minnesota

 Please contact HCBS-learning@lewin.com with any questions.

CMS Virtual Forum: Examining Structural Racism in Health Care

During National Minority Health Month, the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) will host The Road to Equity: Examining Structural Racism in Health Care – a two-day virtual forum to explore the advancement of health equity and efforts to address structural racism. Guest speakers from various federal and partner agencies will share their…

CMS Provides Quarterly Update on Hospice Quality Reporting Program

Providers will need to manually calculate their compliance for the period July 1, 2020 – December 31, 2020. The recently released Hospice Quality Reporting Program Quarterly Updates for January – March 2021 compiles the  Hospice Quality Reporting Program (HQRP) information released by the Centers for Medicare & Medicaid (CMS) during the 1Q 2021. Most of…

Hospice Visits in Last Days of Life Measure Clarified

The Centers for Medicare & Medicaid (CMS) has re-specified the Hospice Visits When Death is Imminent (HVWDII) measure. The re-specified measure, Hospice Visits in Last Days of Life (HVLDL), and was announced by CMS via the report Hospice Visits When Death is Imminent: Measure Validity Testing Summary and Re-Specifications (posted in September, 2020). HVLDL is a…

CMS Open Door Forum: Updates to Home Health Quality Reporting Program & More

On April13, 2021 The Centers for Medicare & Medicaid Services (CMS) held the Home Health, Hospice, and Durable Medical Equipment Open Door Forum. The majority of information shared with the participants pertained to hospice providers. However, several issues impacting home health agencies were also discussed. Home Health Quality Reporting Program (HHQRP) CMS announce that five…

New CMS Webinar: What You Need to Know About Changes in the Hospice Item Set Manual

The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Thursday, April 15, 2021 from 2:00 to 3:30 p.m. ET. The purpose of this training is to provide a general overview of the changes included in the Hospice Item Set (HIS) Manual V3.00. Specific topics include: The Hospice Quality Reporting Program…