Helpful CMS Links and Information
Here are the resources we regularly use. We keep these up-to-date so let us know if we need an update!
COVID-19 / Coronavirus Resources
NEW: Interim Final Rule Updating Requirements ... in Nursing Homes
Published May 2020
Includes new tags and reporting requirements
NEW: Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, and FAQs
Updated April 24, 2020
FAQs follow the memo
COVID-19 FAQs on Medicare Fee-for-Service (FFS) Billing
Updated May 15, 2020
SNF waiver and billing information p.42
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
Published April 2, 2020
COVID-19 Long-Term Care Facility Guidance
Published April 2, 2020
ICD-10 Official Coding Guidance for Coronavirus
Valid April 1 onward.
Published March 18, 2020
FAQ ICD-10 coding for Covid-19
American Hospital Association
Published March 26, 2020
NEW: Guidance for Infection Control and Prevention of Coronavirus Disease
Last Updated March 13, 2020
NEW: COVID-19 Emergency Declaration Fact Sheet
Published March 13, 2020
Quality and MDS Resources
Change Table for Proposed SNF QP New and Modified Items
Effective Date October 1, 2020 DELAYED
New: PDPM ICD-10 Mapping
Effective Date March 31, 2020
Scroll to bottom of the page and click on FY 2020 PDPM ICD-10 Mappings (ZIP) (revision)
RAI User Manual
PDF file last updated October 2019
Medicare Benefit Policy Manual
PDF file last updated October 2019
Five-Star Quality Rating System: Technical Users' Guide
PDF file last updated April 2020
Quality Reporting Program Website
Website with multiple downloads
MDS Based and Claims Based Quality Measures
Website with multiple downloads
ICD-10-CM for 2020 website
Website with multiple downloads
Value-Based Purchasing Website
Website with multiple resources and per year Rules