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News for Iowa Health Care Association members and their employees April 3, 2018
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Policy briefs on HCBS settings rule

To support states and providers implementing the Home and Community Based Services (HCBS) Settings Rule, NCAL has partnered with Health Management Associates to create four policy briefs on the areas challenged with  ensuring assisted living (AL) continues as an appropriate home and community based setting. These briefs provide background on each issue, aggregate the available guidance from CMS, and provide examples of CMS-approved strategies to comply with the rule from those states with approved transition plans.

The brief, Co-location: Community Integration Options and Resident Choice Are Key in Assessment of Co-Located Assisted Living Communities and Inpatient Facilities, addresses options for AL communities located in the same building as inpatient facilities, including nursing facilities. Each state must identify those settings for heightened scrutiny review by CMS. Co-located settings may demonstrate compliance with the rule by:

  • Differentiating the purpose, design, and programmatic features of the setting;
  • Demonstrating the degree of physical, programmatic, and financial disconnect between the AL community and inpatient facility; and
  • Demonstrating how the resident’s experience complies with the rule, including through valid consumer experience surveys.
AL communities must have a clearly defined approach to support community integration and resident choice. The brief provides concrete examples from CMS guidance and approved transition plans to support states and providers to ensure AL communities continue as an appropriate home and community based setting.

Since 2014, implementation has been underway to meet the 2022 deadline extension. States continue to work with CMS to have their transition plans approved. States must also assess all HCBS settings for compliance with the rule, and then assemble evidentiary packages for CMS heightened scrutiny review for settings that meet certain criteria. 
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Education Calendar
The Art of ICD-10 Coding for Home Health, April 4-5, West Des Moines
Assisted Living Management Certificate Program, April 9-13, West Des Moines
Assisted Living Regulatory Nurse Class, April 12, West Des Moines REGISTRATION CLOSED
CNA and Direct Caregiver Mentorship Program, April 17-18, West Des Moines
MDS 101 - Introduction to MDS 3.0, May 1, West Des Moines
MDS 201 - Additional MDS 3.0 Training, May 2, West Des Moines
SNF Medicare Review, May 9, 2018, West Des Moines
Medicaid HCBS Elderly Waiver Review, May 16, West Des Moines
Assisted Living Nurses Conference, May 17, West Des Moines
LTC Medical Directors, Medical Practitioners & Pharmacists Conference, June 1-2, West Des Moines
Assisted Living Management Certification, Online program
Online Dementia Care Training and Individual Certification Program
Click on the event link to learn more about each educational offering and to register. If you have additional questions, contact Georgene Olson at 800.422.3106.

West Des Moines area hotel discounts for IHCA members.

Map to the IHCA Education Center, 1775 90th Street, West Des Moines, IA.


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