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Review of Proposed Rule on Nursing Facility Staffing and Payment Transparency

The Centers for Medicare & Medicaid Services issued a notice of proposed rulemaking on nursing facility staffing and payment transparency, establishing minimum staffing standards for long-term care facilities to ensure safe and quality care. The notice also requires states to report the percent of Medicaid payments for certain Medicaid-covered institutional services specific to nursing facilities and intermediate care facilities for individuals with intellectual disabilities that are spent on compensation for direct care workers and support staff.

During this session, the Commission reviewed MACPAC’s prior work on nursing facility staffing and payment transparency. The next steps for staff include incorporating feedback from the discussion for possible comment by the Commission.