Dedicated to promoting quality long term care
News for Iowa Health Care Association members and their employees November 6, 2017
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Payment and Reimbursement
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IHCA navigating members' interests with AmeriHealth Caritas exit
(Medicaid providers)

Attend IHCA's District Meetings this week and next and participate in the IHCA Monthly Managed Care Call on Wednesday to get the latest information on the AmeriHealth Caritas transition for providers and Medicaid members. Read More »

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Process outlined for disputing Part B recoupment letters
(SNF/NF)

Providers are encouraged to follow the formal dispute process to ensure funds are not withheld from future claims. Read More »
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CMS approves elimination of 90-day retro; IHCA fighting to suspend rule
(SNF, HH)

We have a number of members offering testimony before the Legislative Rules Committee on November 14. The committee has yet to approve the rules from the legislation passed last session.  Read More »
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HHGM proposal not finalized in 2018 PPS rate update
(HH)

Based on the comments received, CMS did not finalize the HHGM proposal for a new payment model in 2019. Thank you to ICHC members for helping secure this victory! Read More »

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Conference call on Provider Quality Management Self-Assessment
(HCBS providers)

ICAL will hold a conference call for ICAL members on the 2017 Provider Quality Management Self-Assessment on Friday, November 17 at 11:00 a.m. Read More »
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2018 RCF per diem rate announced
(RCF)

DHS has announced the 2018 maximum RCF per diem rate. Read More »
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PBJ update - Data is now public
(SNF/NF)

AHCA/NCAL gives an explanation, summary and available resources for member providers. Read More »
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CMS SNF VBP call on November 16
(SNF)

Learn how the SNF Value-Based Purchasing (VBP) Program will affect Medicare’s payments to facilities beginning October 1, 2018. Read More »

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CMS issues CY 2018 Medicare Physician Fee Schedule
(SNF)

CMS issued a final rule for the calendar year (CY) 2018 Physician Fee Schedule (PFS) and final rule with comment period for the quality payment program (QPP). Read More »
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Regulatory and Survey
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IHCA asks DIA to re-examine door alarm interpretation
(AL)

IHCA is requesting that DIA re-examine their decision requiring programs with attached memory care units to alarm all doors in the entire facility, essentially creating a double perimeter of alarms. Read More »
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Direction received on printing EHRs for surveyors
(SNF/NF)

IHCA recently sought direction from DIA regarding surveyors' requests that providers print large numbers of EHRs during the survey process. Read More »
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Emergency Preparedness
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Survey tool just for IHCA members
(SNF/NF)

ECSI preferred vendor, Lee Agency has created a survey tool to help organizations know where they stand with the emergency preparedness regulations effective November 15. Read More »

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Quality Improvement
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The Value of Data in Quality Improvement
(NF, AL, RCF)

This webinar introduces the Five-Star Quality Measure Predictor Tool, available exclusively in LTC Trend Tracker. Providers are encouraged to take advantage of this valuable, free resource from AHCA/NCAL.  Read More »

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Staff, resident and discharge surveys are BCG's business!
(SNF/NF)

ECSI preferred vendor, BCG Research is ready to do 2017 annual resident or staff surveys. Contact Lisa Jesse to learn how BCG can meet your survey needs. Read More »

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Webinar: Hospital Admissions in Long Stay Settings
(SNF/NF, AL, RCF)

Hospitalizations pose significant risks for frail older adults. This FREE webinar from AHCA/NCAL will give your organization great insight into reducing hospitalizations. Read More »
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Tops in Survey
(All)

Congratulations to IHCA members receiving a deficiency-free DIA inspection. Members can review the latest survey trends for NFs, ALs, HHAs and RCFs on our Members Only website. Read More »
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Due Thursday - 2018 National Quality Award Intent to Apply
(NF, AL, RCF)

Submit your Intent to Apply by Thursday! Join the 145 IHCA and ICAL members moving forward with the AHCA/NCAL National Quality Award program. Read More »

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Sharing excellence - Tell your peers how you did it!
(NF, AL, RCF)

Participate in the AHCA/NCAL 2018 Quality Summit poster session to tell your peers how you employed a QAPI or Baldrige approach to accomplish one of the AHCA or NCAL Quality Initiative goals. Read More »

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Advocacy
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Your participation in Legislative Forums is critical!
(All)

Tired of low reimbursement? Tired of excessive regulations? What can you do about it? Attend an IHCA Legislative Forum! See the schedule of remaining forums, mark your calendar and make plans now to attend.  Read More »

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Resources
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Celebrate Independence at Home during Home Care & Hospice Month
(HH)

November is National Home Care and Hospice Month and agencies and caregivers are raising awareness about the value of health care delivered in the home. Read More »
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National News
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IHCA and AHCA ask for NFs' participation in study
(SNF/NF)

IHCA is encouraging all of its nursing facility members to participate in a nursing facility and skilled nursing facility margin study being contacted by AHCA. Read More »
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AHCA, NCAL & NAHC this week
(All)

Here's your update on national long term services and supports news from AHCA/NCAL including Capitol Connections, NCAL Connections and the National Association for Home Care & Hospice website. Read More »

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Education Calendar
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Northwest District Education and Meeting, November 7, 10:00 a.m.-12:00 p.m., Storm Lake
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Assisted Living REGULATORY Nurse Class, November 9, West Des Moines
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Northeast District Education and Meeting, November 9, 10:00 a.m.-12:00 p.m., Cedar Falls
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Southeast District Education and Meeting, November 14, 10:00 a.m.-12:00 p.m., West Liberty
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Southwest District Education and Meeting, November 16, 10:30 a.m.-12:30 p.m., Atlantic
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Nursing Facility Compliance, November 17, 10:00-11:00 a.m., Webinar
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Assisted Living Managers Annual Conference, November 21, West Des Moines
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MDS 101 - Introduction to MDS 3.0, November 28, West Des Moines
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MDS 201 - Additional MDS 3.0 Training, November 29, West Des Moines
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Restorative Nursing Program, December 6, West Des Moines
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Health Care Assistants Education Conference, December 13, Des Moines
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Winter Quarterly Education Conference, December 13, 2017, Des Moines
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Assisted Living Management Certification, Online program
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Online Dementia Care Training and Individual Certification Program
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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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This newsletter contains confidential information and is intended only for IHCA, ICAL and ICHC membership. Dissemination, distribution or copying the contents of this email beyond this group is strictly prohibited. 

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In This Issue
Payment and Reimbursement
Regulatory and Survey
Emergency Preparedness
Quality Improvement
Advocacy
Resources
National News
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IHCA is dedicated to promoting quality long term services and supports through professional development and shaping public and private policy through effective advocacy.
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