Dedicated to promoting quality long term care
News for Iowa Health Care Association members and their employees December 10, 2018
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Payment & Reimbursement
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Guide for 2019 Dual Complete Plan available
(All)

Effective January 1, there will be 54 Iowa counties eligible for the UnitedHealthcare Dual (HMO/SNP) Complete Plan benefits. Read More »

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PBJ actions may lead to more frequent weekend surveys
(SNF/NF)

CMS has recently announced three Payroll-Based Journal (PBJ) actions they are taking to address skilled nursing facility staffing levels, including reporting data to state agencies to conduct weekend surveys. Read More »

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Medicare Advantage change effective January 1
(SNF/NF)

UnitedHealthcare has issued a bulletin outlining a reimbursement policy change effective January 1 that will require skilled nursing facilities providing post-acute inpatient services to request prior authorization and receive a determination before UnitedHealthcare Medicare Plan Advantage plan members can be admitted. Read More »

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KX modifier and MR thresholds announced for 2019
(SNF/NF)

CMS recently posted an article outlining per-beneficiary incurred expense amounts, also known as KX modifier thresholds, and the threshold of the Targeted Medical Review (MR) process in effect for 2019, both of which will be important for facility billing staff to know. Read More »
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New MCO coming to Iowa in July
(Medicaid providers)

Iowa Total Care is Iowa’s newest Managed Care Organization (MCO) and will begin serving the Medicaid population effective July 1, 2019. Read More »
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Quality Improvement
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Quality Award webinar available January 14
(SNF, NF, AL, RCF)

The American Health Care Association (AHCA) is offering a webinar January 14 to review the application process for the National Bronze Quality Awards. Read More »
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2019 Quality Summit to provide inspiration, fresh ideas
(SNF, NF, AL, RCF)

The American Health Care Association’s Quality Summit March 18-20 in Tampa, Florida, will provide a chance to connect with peers and industry experts to gain inspiration and fresh ideas for providing long-term care support and services. Read More »
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Regulatory
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CMS issues rural add-on instructions
(HH)

Beginning January 1, payment increases will be applied to home health services furnished in rural areas based on county designation. Therefore, all home health claims will need to include the county code (or equivalent area). Read More »
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Program changes to high-dose opioids announced
(All)

The Iowa Department of Human Services (DHS) and Iowa Medicaid Enterprise (IME) have issued an Informational Letter outlining changes in high-dose opioids effective March 1. Read More »

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New CMS toolkit available
(SNF, NF)

The Centers for Medicare & Medicaid Services (CMS) has announced the availability of the first of three toolkits, called Nursing Home Staff Competency Assessment. Read More »

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Fire marshal guidance on holiday decorations
(SNF, NF, AL, RCF)

Take care when decking the halls this holiday season – and minimize your facility’s risk of a fire hazard – by following these guidelines from Iowa’s state fire marshal. Read More »
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Association Updates
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Hotel discount rates for IHCA members announced
(All)

If you find yourself traveling to Des Moines this holiday season – be sure to check out the discounted rates available at several West Des Moines hotels especially for IHCA members. Read More »

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National News
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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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Winter Quarterly Education Conference, December 12, West Des Moines
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AANAC Resident Assessment Coordinator Certification Course (RAC-CT), January 22-24, 2019, West Des Moines
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Activity Professionals Qualification Course, January 23, Online program
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Assisted Living Management Certification, Ongoing, 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 & Reimbursement
Quality Improvement
Regulatory
Association Updates
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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