State Plan Amendment (SPA) 18-0005 Long-Term Care (LTC) Updates #2 has been submitted to allow the following, effective July 1, 2018: Revise the number of allowed therapeutic leave days for nursing facilities (NFs) and intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs) as required by Senate Bill 2836, remove stock transactions as a change in ownership assets as required by 42 C.F.R. ยง 489.18, clarify the provider appeals process to include reconsideration prior to an administrative appeals request, remove MDS submissions as appealable, and restrict providers from entering or modifying hospital and therapeutic leave days via the web portal after the corresponding quarter close cutoff.
For more information, read the approved SPA pages.
