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Policy Snapshot

December 8, 2025

CMS Reverses Long-Term Care Minimum Staffing Rule, Returns to Prior Standards

The Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule with comment period, reversing key components of the May 2024 Minimum Staffing Standards for Long-Term Care Facilities final rule. This action formally restores staffing requirements that were in place prior to the 2024...
Policy Snapshot

December 2, 2025

2026 Physician Fee Schedule Final Rule: Key Impacts on SNF and NF Care

The 2026 Medicare Physician Fee Schedule Final Rule finalized a small increase in the conversion factor but made significant practice expense (PE) adjustments that will directly affect clinicians practicing in skilled nursing facilities (SNFs) and nursing facilities (NFs). CMS’ new PE methodology reduces i...
Policy Snapshot

November 17, 2025

Federal Government Reopens, Telehealth Flexibilities Extended

After a record-breaking 40-day shutdown, the federal government officially reopened on November 12, 2025, following congressional passage of H.R. 5371, the Continuing Appropriations and Extensions Act. President Trump signed the measure shortly after it was approved by the House, ending the longest lapse i...
Policy Snapshot

November 10, 2025

Senate Deal to Reopen Government Includes Telehealth Extensions

The Senate has reached an agreement on a continuing resolution (CR) to reopen the government, extending federal funding and authorities that expired in September through January 30, 2026. This deal includes the extension of telehealth flexibilities that were extended through the Consolidated Appropriations...
Policy Snapshot

October 24, 2025

CMS Revises Memo on State Survey & Certification Activities

The Centers for Medicare & Medicaid Services (CMS) last week revised its position on allowed survey activities during a federal government shutdown. States can continue to do some survey work, but contractors or others cannot complete many nursing home inspection functions.
Policy Snapshot

October 24, 2025

CMS Claims Hold Update

CMS has instructed all Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with service dates of October 1, 2025, and later for certain services impacted by select expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Exte...