Good morning this is Leah right VP for quality compliance and informatics at Northern Light Home Care and Hospice I am here today to present to you some updates on the home health conditions of participation which actually went into effect January 2023 however we been a little busy so we're just getting to implement some of these new processes that are a requirement of the new conditions of participation so we're going to get started if you have any questions please feel free to email me at Wright L at northern light org or talk to your manager and we'll try to get those questions answered there we go so the first area of focus is on risk for hospitalization it is a new requirement that the patient's risk for emergent emergency care or hospitalization and any interventions to address those risks are documented on the plan of care or the 485 in home health so that is something that we need to start doing we're going to be looking at getting this going as of February 1st 2023 so people have the opportunity to watch this video to get all the changes and that will be turned on February 1st so the first way that you are going to start to learn more about this on your particular client is that northern health no excuse me northern light health has adopted a tool called lace and that tool determines when a client should get follow-up care after a hospitalization lace stands for length of stay acuity comorbidities and emergency room visits and then based on that score you get a recommendation on when they should have their physician follow-up intake is going to start receiving this information as part of the referral process from any northern light health...
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Cms maintains an extensive list of conditions of participation (cop). what are these? Form: What You Should Know
Medicare and Medicaid Programs; Conditions of Participation. Mar 6, 2023 — Rural Emergency Health Care (REC) providers and rural health care consumers will have access to new ways to connect through a new consumer portal to the Medicare and Medicaid Programs: Medicare and Medicaid Dec 13, 2023 — CMS finalizes requirements for health care organizations to meet requirements of Conditions of Participation (CoPs) and Provides information on the CMS website about conditions of participation. Provides information on the CMS website about conditions of participation. Jan 9, 2023 — HHS releases a letter (PDF) explaining how the Medicare and Medicaid programs are affected by the ACA and a public comment period for this rule begins on Feb 20, 2018. HHS Release: Letter explaining conditions of participation for rural Medicare providers (7) An individual who receives services under this Subtitle from a rural Medicare provider must have (as of January 13, 2017) one of the following: (1) A certificate of eligibility from a rural medical assistance provider. (2) A Certificate of Eligibility from their state's Health Insurance Marketplace (HIP). (3) A Certificate of State Eligibility (CSE). (h) State Operations Manual: Appendix A — Survey Protocol — CMS Public Comment Period on CMS Proposed Rules Maine Medicaid Program; Medicaid Expansion Jun 8, 2023 — For a proposed rule that would modify the Maine Medicaid program, CMS released a Letter explaining the proposed requirements and inviting public comments. The Letter is available on the CMS website. Apr 24, 2023 — An application for funding under Part C of Medicaid has been filed with the CMS to expand Maine's Medicaid program, which was first implemented in 2011. If the state adopts the rules contained in the application, Maine would be able to expand Medicaid coverage to residents with incomes up to 138% of the Federal Poverty Level (GPL), subject to the requirements of the Affordable Care Act. The rule requires that the Maine Health Connect (MEMO) system include an option for the application process, but does not require that the state plan undergo a state-wide evaluation or that the state's application have any significant changes. It also prohibits Maine from using a private contracting authority or its own assessment.
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