Regulatory Updates

State: All

Date Effective : 01/1/2025

Program: Home Health

CMS has released draft versions of the OASIS-E1 instruments.  CMS also included on the OASIS Data Set page are other helpful resources to prepare for the updated OASIS.

State: All

Date Effective : 01/1/2025

Program: Home Health

CMS has released a draft version of the OASIS-E1 manual.  OASIS-E1 is set to be effective January 1, 2025.  Providers are encouraged to begin to familiarize themselves with OASIS-E1.

State: All

Date Effective : 01/1/2025

Program: Renal Dialysis

Effective January 1, 2025, certain drugs, available in oral form for use in ESRD facility dialysis services, will be included in the bundled payment.  Read further for more information regarding payment, coding, and timeframes related to this change.

State: Texas

Date Effective : 09/1/2024

Date Adopted : 04/18/2024

Program: Home Care, Home Health

Texas Health and Human Services Commission issued Provider Letter 2024-10 April 18, 2024.  This letter outlines the requirements for HCSSAs with a home health category (if the agency employees 2 or more registered nurses) to adopt and implement a workplace violence prevention program no later than September 1, 2024.

State: All

Date Effective : 06/3/2024

Program: Hospice

Update:  CMS issued a revised MLN on April 25, 2024 that states the effective date of this requirement has been delayed until June 3, 2024. Reminder to all hospice providers: Effective May 1, 2024, hospice certifying physicians (Medical Director, Medical Director designee, and/or interdisciplinary team hospice physician, as well as the patient-designated attending physician, if they have one) must be enrolled in Medicare or validly opted out at the time of the certification.  It is imperative that hospice providers understand this requirement in order to determine processes for billing compliance.  Read more to learn about the important concepts of this new requirement.

State: Texas

Date Effective : 03/31/2024

Program: Assisted Living

Texas Health and Human Services Commission issued a revision to Provider Letter 2021-32 on March 31, 2024.  This revision updates guidance issued to Assisted Living facility providers regarding implementation of Life Safety Code Rules in the ALF.