Skilled Nursing Facilities Begin Planning for Mandatory Off-Cycle Revalidations

HighlightsSkilled nursing facilities (SNFs) will receive notice of required off-cycle revalidation from their Medicare Administrative Contractor from October to December 2024SNFs will have 90 days from the date of each letter to submit additional required information under the newly revised CMS-855A into the PECOS system or by paper applicationThe additional reporting requirements require SNFs to disclose new information regarding their ownership and contractual relationshipsThe Centers for Medicare & Medicaid Services (CMS) have begun issuing notice of off-cycle revalidations to all U.S. skilled nursing facilities (SNFs), which will be completed by December 2024. Once a SNF receives notification of off-cycle revalidation from their Medicare Administrative Contractor, it will have 90 days to submit the additional information required under the newly revised CMS-855A through either the PECOS system or by paper application.The newly revised portions of the CMS-855A begin on... Read the complete article here...© 2024 BARNES & THORNBURG LLP

Highlights Skilled nursing facilities (SNFs) will receive notice of required off-cycle revalidation from their Medicare Administrative Contractor from October to December 2024 SNFs will have 90 days from the date of each letter to submit additional required information under the newly revised CMS-855A into the PECOS system or by paper application The additional reporting requirements require SNFs to disclose new information regarding their ownership and contractual relationships The Centers for Medicare & Medicaid Services (CMS) have begun issuing notice of off-cycle revalidations to all U.S. skilled nursing facilities (SNFs), which will be completed by December 2024.

Once a SNF receives notification of off-cycle revalidation from their Medicare Administrative Contractor, it will have 90 days to submit the additional information required under the newly revised CMS-855A through either the PECOS system or by paper application. The newly revised portions of the CMS-855A begin on page 52 of the application. While the initial disclosure rules primarily focused on private equity and real estate investment trust ownership, the requested information on the newly revised CMS-855A goes much further.

SNFs will be required to disclose a significant amount of new information regarding their ownership structure and contractual relationships, including tax identification numbers, Social Security numbers, and dates of birth. In order to reduce confusion and clarify previous inconsistencies,.