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Get the free Federal Register Proposed Rule on Hospice Services in Long Term Care Facilities - gpo

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This document outlines proposed regulations for long-term care facilities regarding the provision of hospice services, including agreements with Medicare-certified hospices to ensure coordinated care
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How to fill out Federal Register Proposed Rule on Hospice Services in Long Term Care Facilities

01
Visit the Federal Register website to access the proposed rule document.
02
Thoroughly read the proposed rule details to understand the content and implications.
03
Identify the sections that require public comments or feedback.
04
Prepare your comments, ensuring they are clear, concise, and relevant to the proposed rule.
05
Include any supporting data or examples to strengthen your response.
06
Follow submission guidelines for comments, including format, length, and deadlines.
07
Submit your comments via the designated platform or as instructed in the proposed rule.

Who needs Federal Register Proposed Rule on Hospice Services in Long Term Care Facilities?

01
Hospice care providers operating within long-term care facilities.
02
Administrators of long-term care facilities seeking to comply with hospice regulations.
03
Policy makers and healthcare professionals interested in hospice services.
04
Advocacy groups focused on improving hospice care for residents in long-term care.
05
Families of residents in long-term care facilities who may utilize hospice services.
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The hospice interdisciplinary team (IDT) has 5 calendar days from the effective date of the hospice election statement to complete the comprehensive assessment. CMS does not dictate how the comprehensive assessment is completed or what forms a hospice provider utilizes to document the comprehensive assessment.
Hospices reported median revenue of $6865 per patient and $138 per patient–day (for-profit-not-for profit [FP-NFP] difference −$20, p = 0.045), median cost of $6737 per patient, and $135 per patient–day (FP-NFP difference −$55, p = 0.002), and median pretax profit of $334 per patient and $6 per patient–day (FP-NFP
Although some hospices are located as a part of a hospital, nursing home, and home health agency, hospices must meet specific Federal requirements and be separately certified and approved for Medicare participation.
Hospices reported median revenue of $6865 per patient and $138 per patient–day (for-profit-not-for profit [FP-NFP] difference −$20, p = 0.045), median cost of $6737 per patient, and $135 per patient–day (FP-NFP difference −$55, p = 0.002), and median pretax profit of $334 per patient and $6 per patient–day (FP-NFP
The so-called 80/20 rule. It's understandable why: The rule requires that a minimum of 80% of Medicaid payments for homemaker, home health aide and personal be services be spent on compensation for direct care workers furnishing these services.
CMS proposes a 2.4% payment increase for hospices in FY 2026, translating to approximately $695 million in additional payments industry-wide. This increase is based on a 3.2% market basket update, offset by a 0.8 percentage point productivity adjustment.
Hospice payments are subject to a statutory aggregate cap which limits the overall payments made to a hospice annually. The proposed hospice cap amount for FY 2026 is $35,292.51 (FY 2025 cap amount of $34,465.34 increased by the FY 2026 hospice payment update percentage of 2.4%).
The hospice payment update includes a statutory aggregate cap that limits the overall payments per individual that may be made annually to a hospice. The finalized hospice cap amount for FY 2025 is $34,465.34 (FY 2024 cap amount of $33,494.01, increased by the FY 2025 hospice payment update percentage of 2.9%).

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The Federal Register Proposed Rule on Hospice Services in Long Term Care Facilities is a regulatory proposal aimed at establishing guidelines and standards for the provision of hospice care within long-term care facilities, ensuring quality of care and compliance with Medicare and Medicaid regulations.
Healthcare providers, specifically those operating long-term care facilities that offer hospice services, are typically required to file comments or responses regarding the proposed rule during the public comment period.
To fill out the Federal Register Proposed Rule, stakeholders should carefully review the proposed rule documentation, provide feedback or comments clearly outlining their positions, and submit their responses through the designated submission process outlined in the notice.
The purpose of the Federal Register Proposed Rule is to enhance the quality, safety, and accessibility of hospice services in long-term care settings, ensuring that residents receive appropriate end-of-life care and to align practices with federal standards.
The information that must be reported includes feedback on the proposed regulatory changes, suggestions for improvements, and comments on the impact of the proposed rule on service provision and patient care within long-term care facilities.
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