Nursing Home News 2026September11
DHHS Survey & Associations Call
On the DHHS survey call for associations this week, Larisa discussed several important topics for Assisted Living and Skilled Nursing facilities. This included the distinction between the Federal Monitoring Survey and the Comparative Federal Survey, RN Waiver application process, and appeal rights including IDR, IIDR and Administrative Hearings. The slides from this presentation are available here.
New SNF Reports Now Available in LeadingAge Report Portal.
New Five-Star Reports are now available for nursing home members in the LeadingAge Report Portal. These reports are based on the August 26 update to Nursing Home Care Compare. As this is only a monthly update, rather than a quarterly refresh, providers may see a change in their Health Inspection scores but Staffing and Quality Measures will not change. LeadingAge members can access their reports on the LeadingAge Report Portal. The next quarterly refresh of the Five Star Quality Rating System will occur on October 28.
Risk-Based Survey Rolls Out; Resources Updated
The Centers for Medicare & Medicaid Services (CMS) began implementing the Risk-Based Survey nationwide on September 8. The roll-out was previously announced in July through CMS Memo
QSO-26-14-NH. Survey resources for the Risk-Based Survey were released in August and updated again with the September implementation. Find these new resources, along with resources for standard recertification surveys, on the
CMS Nursing Homes page in the Downloads section.
New Resource Available from CMS: SNF VBP Program Measures, Scoring and Reporting Training
The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training that provides an overview of the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program. The course covers the program framework and eligibility, current measures, scoring terminology, payment methodology, and the Skilled Nursing Facility Within-Stay Potentially Preventable Readmission (SNF WS PPR) Measure, which will be implemented for the FY 2028 program year. Additionally, the course explains reports and public reporting, as well as the processes for Review and Corrections (R&C), reconsideration, and the Extraordinary Circumstances Exception (ECE). This training can be accessed through the SNF VBP Program Training webpage.
CMS Releases Skilled Nursing Facility Consolidated Billing Quarterly Update.
The Centers for Medicare and Medicaid Services (CMS) announced the release of the Skilled Nursing Facility (SNF) Consolidated Billing October 2026 Quarterly Update in the most recent MLN Connects Newsletter. While the quarterly update made no substantive changes, it will be helpful for providers to review this list to find out which HCPCS codes are excluded from consolidated billing and how to handle vaccines like COVID, RSV, and flu. Check it out here. Recall that providers have the opportunity to request exclusions from consolidated billing each spring in the annual SNF Prospective Payment System (PPS) rule.
DEA Final E-Prescribing Rule Goes to OMB, Expected Release Date of November 2026.
Over the last three years, since the termination of the Public Health Emergency (PHE), providers have been anxiously awaiting the Drug Enforcement Agency's (DEA) final decision on how e-prescribing controlled substances would work moving forward. That wait may soon be over. On August 25, DEA submitted a final rule to the Office of Management and Budget (OMB) on Special Registrations for Telemedicine and Limited State Telemedicine Registrations. OMB is the final stop before rules are published in the Federal Register and move towards implementation. Many will remember that the PHE providers were given waivers to an in-person requirement before prescribing. For many aging services providers, especially hospices, these flexibilities are invaluable. The Biden administration made multiple attempts to draft new regulations balancing the DEA's role in prevention of drug diversion with patient access. In January 2025, this initial proposed rule, which is now final and awaiting OMB approval, was released which would require special registrations to be able to e-prescribe scheduled drugs. LeadingAge expressed grave concerns that the proposed rule would only further limit access to critical drugs for the vulnerable older adults. The rule’s expectations, we argue, were onerous and could prove impossible for hospices and other aging service providers to comply with due to the emergent nature of services and necessity of quickly prescribing schedule II drugs to control symptoms. If DEA moves forward with the proposed rule with no modifications, the impact on hospice agencies and other aging service providers who have prescribing authority could be immediate and devastating. These flexibilities allow providers to control pain and symptoms from serious illness quickly and effectively, but requiring in person visits, especially in rural areas, could delay patient relief by hours if not days.










