This presentation will focus on how nursing homes should manage the transitions from the COVID-19 waivers at the end of the COVID-19 Public Health Emergency (PHE). Many waivers have already ended, but there continue to be significant waivers in use related to the PHE. Nursing home leaders must know how to handle residents who are on Medicare coverage through a waiver when the PHE waivers expire. It is also essential to understand how the end of the waivers will impact residents who were covered on a waiver but end Medicare and have a skilled need that arises within 30 days after Medicare coverage ended after the PHE. Benefit period waivers will also be confusing during this transition period as well as telehealth and physician visit waivers. CMS is finalizing the end of the PHE waivers. This webinar will be of interest to all Skilled Nursing Facility leaders.
1. Identify how the end of the PHE waivers impact residents who are on Medicare skilled coverage on a waiver on May 11, 2023 and moving forward.
2. Describe how the 30-day allowable window to return a resident to Medicare coverage when the resident is on Medicare via a waiver on May 11, 2023 but Medicare ends after May 11, 2023 and the resident requires skilled care again within 30 days of the Medicare end date.
3. State how the Medicare Benefit Period waiver will impact days after May 11, 2023.
Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC
Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.
Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).
- 1 credit hours for RNs
- 1 credit hours for NABs
This pre-recorded webinar expires on May 5, 2025.