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Policy Snapshot

May 20, 2022

CMS Updates Chronic Care Management Services Resource Guide

Recent updates and changes include: In 2021, CMS added 5 codes to report principal care management services provided by staff under physician supervision; Starting in 2022, Rural Health Clinics and Federally Qualified Health Centers can bill chronic care management and transitional care management services...
Policy Snapshot

September 30, 2025

CMS Updates CMPRP Program

The Centers for Medicare & Medicaid Services’ (CMS) Division of Nursing Homes has released memo QSO-25-26-NH, announcing updates to the Civil Money Penalty Reinvestment Program (CMPRP). The changes aim to improve efficiency, expand funding, and increase transparency.
Policy Snapshot

January 12, 2026

CMS Updates Nursing Home Care Compare Following iQIES Transition

The Centers for Medicare & Medicaid Services (CMS) has released Quality & Safety Special Alert Memo QSSAM-26-01-NH to explain recent changes to Nursing Home Care Compare related to the transition to the Internet Quality Improvement and Evaluation System (iQIES). This modernization effort aims to en...
Policy Snapshot

August 29, 2025

CMS Updates Prescriber’s Guide to Part D Opioid Policies

CMS has revised its Prescriber’s Guide to Medicare Part D Opioid Policies to help prescribers stay current with opioid-related coverage rules. The update clarifies that Part D plans have 3 days to send a second notice when implementing a coverage limitation, standardizes terminology by referring to medicat...
Policy Snapshot

January 19, 2024

CMS, CDC to Hold Immunization Webinar on January 31

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) will hold a webinar, CDC and CMS Present Stories from the Field: Immunization Strategies for Long-term Care, on Wednesday, January 31, from 2:00-3:00 PM ET.
Policy Snapshot

April 28, 2025

CMS' Updated Surveyor Guidance for Skilled Nursing Facilities Now in Effect

As of April 28, 2025, the Centers for Medicare & Medicaid Services (CMS) has officially implemented its revised surveyor guidance for skilled nursing facilities (SNFs). Originally announced in November 2024, the update experienced several extensions before taking effect on the final implementation date...