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Long Term Care & Senior Living Blog

We offer updates on national on regional issues such as malpractice defense, regulatory compliance, labor and employment issues and estate planning.

Long Term Care & Senior Living Blog
February 16, 2023

The Centers for Medicare and Medicaid Services’ Retirement of Section G of the Required Minimum Data Sets will Leave Many Post-Acute Care Providers in Limbo

On October 1, 2023, the Centers for Medicare and Medicaid Services (“CME”) will be retiring Section G, a measure of the functional status of nursing home residents, from the Medicare and Medicaid Minimum Data Sets (“MDS”). In its place, CMS offers Section GG, which places rehabilitation services into its own case mix component instead of including with other clinical conditions.

Long Term Care & Senior Living Blog
June 21, 2017

Delays in Illinois Medicaid Approval Under Fire

As every long-term care facility doing business in Illinois can attest, Medicaid eligibility determinations and benefit awards have been slow, with HFS often falling months, if not years, behind. A group of SNFs and their residents are trying to change that. Several healthcare providers and their patients have filed suit against Felicia Norwood in her official capacity as the Director of the Illinois Department of Healthcare and Family Services (“HFS”) in federal court.

Long Term Care & Senior Living Blog
November 22, 2016

CMS Final Rule – Completed Comprehensive Analysis by Sandberg Phoenix LTC Team

The past few weeks have been busy ones for the Sandberg Phoenix & von Gontard Long-Term Care and Senior Living team as we have collectively analyzed and blogged about each of the revisions to the federal nursing home regulations. These revisions to 42 CFR 483(B) are the first comprehensive updates since 1991 and address the requirements Long-Term Care facilities must meet to participate in the Medicare and Medicaid programs.

Long Term Care & Senior Living Blog
November 14, 2016

Section 483.15 Admission, Transfer and Discharge Rights

Implementation Date: November 28, 2016¹Section 483.15 replaces section 483.12 and requires the facility to establish an admissions policy. Section (a)(2) states facilities cannot request or require residents or potential residents to waive their rights to Medicare or Medicaid benefits or any rights conferred by applicable state, federal and local licensing or certification laws. Section(a)(2)(iii) prohibits facilities from requesting or requiring residents or potential residents to waive facility liability for personal property losses.