Issue: March 8, 2018

Published on March 8, 2018

Articles in this issue:

AHCA to Present RCS-1 Webinar

Author: Carl J. Pucci* Published in Finance & Reimbursement

AHCA will conduct a free webinar on Thursday, March 29, 2018 from 3:00 – 4:30 pm on the Resident Classification System, Version 1 (RCS-1). The RCS-1 is being explored by CMS to potentially replace the existing RUGS IV payment system for Medicare. 

Below is the AHCA announcement and registration link.

The Centers for Medicare and Medicaid Services (CMS) is exploring a Medicare skilled nursing facility payment system which would replace the existing Resource Utilization Group Version IV (RUGs IV) with a new concept called the Resident Classification System, Version 1 (RCS-1). While CMS has not yet formally proposed the payment system, AHCA believes members should begin to educate themselves about the core elements of RCS-1. 

The proposed patient characteristics-based system is a fundamental departure from the current RUGS IV. Learn about the overarching RCS-1 goals and features. Each new component will be reviewed and discussed, as well as likely alternations in SNF operations.

On March 29, 3:00-4:30PM eastern, AHCA's Mike Cheek, Senior Vice President of Reimbursement Policy, will lead a free webinar designed to help you better understand RCS-1 and possible implementation timelines.

Learning Objectives: 

  1. Understand CMS' goals and overarching RCS-1 construct 
  2. Learn about each component and associated patient characteristics
  3. Learn about member expert preliminary analyses and steps to assess RCS-1 impacts
  4. Review the possible implementation and transition from RUGS IV to RCS-1 

The 90-minute webinar will include a Question and Answer session and will be recorded. We hope you can join us and look forward to the discussion. 

Online registration deadline:  March 27, 2018

Registration Link:

Best Regards,

Michael W. Cheek
Senior Vice President
Reimbursement Policy


Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

March 9, 2018 Statewide Health Information Network for New York (SHIN-NY) Compliance/Waiver Deadline

Author: Lauren Pollow* Published in Legislative


In 2016, New York State adopted a regulation mandating that nursing homes and home care agencies using “certified electronic health record technology under the federal Health Information Technology for Economic Clinical Health Act (HITECH)” must connect to the Statewide Heath Information Network for New York (SHIN-NY) by March 9, 2018. As many of you are aware, the SHIN-NY is a network of networks within the State seeking to facilitate safe, efficient, high quality patient care by sharing health information with health care providers where and when it is needed. If you are a nursing home using an EMR that is certified by the Office of the National Coordinator (ONC) as per the federal HITECH requirements, you must connect to your Regional Health Information Organization (RHIO)/Qualified Entity (QE) by March 9, 2018 or apply for a waiver! 

How do I know if our EMR is Certified?

What if my EMR is not certified?

What if I don’t have an EMR?

What if my EMR is certified, but I can’t connect right now?

How do I request a waiver?

Additional Information


Lauren Pollow
Director, Government Affairs
518-462-4800 x25

Registration Open for AHCA/NCAL Congressional Briefing June 4 – 5, 2018

Author: Esq. Stephen B. Hanse* Published in Legislative

Congressional Briefing will be held on June 4 – 5, 2018. The AHCA/NCAL featured speaker is Carl Bernstein, a Pulitzer Prize winning journalist, author and political analyst.

Congressional Briefing provides members with the opportunity to take action with peers, speak face-to-face with members of Congress, discuss the most pressing issues facing long-term and post-acute care providers, and advocate for resources to provide the best care possible.

To Register:

If you plan to attend, you can register with AHCA/NCAL at Congressional Briefing Registration. The deadline to register is Thursday, May 7th.

Hotel Accommodations:

Hyatt Regency Washington on Capitol Hill
400 New Jersey Ave NW
Washington, DC  20001

Please make your hotel reservation early as rooms sell out quickly.

Reservation Department: 1-888-421-1442, rates are $309 plus 14.8% occupancy tax. Group Code: “American Health Care Association”. You can also make your reservation online at AHCA Hyatt Regency Washington Reservations.


Stephen B. Hanse, Esq.
President & CEO
518-462-4800 x11

15th Annual Social Service & Activities Conference


Join NYSHFA/NYSCAL for the 15th Annual Social Service & Activities Conference. The conference is being held March 22-23rd at the Saratoga Holiday Inn. The program is approved for 10 contact hours for Social Workers and Activity Directors. This year's Hot topics include: Behavioral Health; eMOLST; Communication; Holistic Wellness and many more.  Click here for additional details and registration options. 

Audio Conference - An Integrated Care Model: The Role of Behavioral Health Services in LTC


On Thursday March 22nd, NYSHFA/NYSCAL will host an audio confernece entitled "An Integrated Care Model: The Role of Behavioral Health Services in LTC". The role of long term care facilities in addressing resident’s health care needs continues to evolve at a rapid pace. One area where more is being expected involves identifying and responding to residents who are at risk of developing, or exhibiting behavioral or emotional needs. The broad term behavioral health covers a wide range of clinical issues including, but not limited to, trauma informed care, dementia care, depression, behavior management, pharmacological management, and optimizing the care of the chronically mentally ill. The evolution in the role of LTC facilities is being driven in part by research, which has established that mental health care is a key component in achieving quality care outcomes. Whether the care is focused on short term rehabilitation, medical compliance, palliative care, or decreasing re-hospitalization rates, the resident’s psychological state and wellbeing will affect every aspect of care. This presentation will focus on a variety of behavioral health issues faced by facilities, address key compliance issues, and describe strategies to optimize behavioral health care.

Click here for additional details. 

Audio Conference - Discharge to Community: Safe Transitions to Reduce Hospitalizations


On Thursday, March 29th, NYSHFA/NYSCAL will host an audio conference entitled "Discharge to Community: Safe Transitions to Reduce Hospitalizations". Discharge to community claims-based quality measure creates a challenge to the status quo to change the current process to resident centered planning from the day of admission to the skilled nursing facility and more importantly the discharge planning process. Discharge planning is an interdisciplinary team approach to not only transitioning to the next level of care, but to the next level of care with a solid discharge plan to reduce hospitalizations and emergency department utilization. Understanding what led up to the person’s hospitalization and including this in the discharge planning is an important element in safe transitioning to the appropriate level of care. This program explores various evaluations, and ideas to understanding barriers for transitions as well as community resources and alternate resources for care levels such as Assisted Living available to transition safely. Click here for more details. 


One Day Educational Session - Life Safety & Employment Laws (Nurse Leadership Pre-Con)


On Wednesday, May 2nd NYSHFA/NYSCAL will host an pre-conference to the Nurse Leadership Conference with sessions entitled "Life Safety & Emergency Management...the Hot Topics Affecting LTC" & "What You Don't Know Can Hurt You. Are You Up to Date on Employment Laws?". Click here for additional details. 


16th Annual Nurse Leadership Conference


Join NYSHFA/NYSCAL for the 16th Annual Nurse Leadership Conference. The conference is being held May 3-4th at the Turning Stone Resort & Casino.  This year's Hot topics include: Leadership, Survey Process, CMS ROP & QAPI, Mental Health Issues, the Opioid Crisis and many more.  Click here for additional details and registration options. 

Audio Conference - DOH Update on the New Survey Process


On Thursday, May 3rd NYSHFA/NYSCAL will host an audio conference entitled "DOH Update on the New Survey Process". DOH will present the latest update on the CMS’ Requirements of Participation’s (ROP) Standard Survey process. This new survey process began on November 28, 2017 as part of the ROP Phase II implementation. Participants will hear the latest trends DOH is identifying through the new process & issues to be addressed. Click here for addtional details. 


Audio Conference: ROP - 483.45: Pharmacy Services, Medication Reconciliation


On Wednesday, April 18th, NYSHFA/NYSCAL will present an Audio Conference entitled, "ROP for Pharmacy Services 483.45: Pharmacy Services, Medication Reconciliation, and Creating a System for Preventing and Reducing Adverse Drug Events". 

This presentation will review the CMS Requirements of Participation for Pharmacy Services, discuss the impact of medication related adverse events in long term care, and provide suggestions for medication management system changes to prevent and reduce adverse drug events with a focus on medication reconciliation and high risk medications such as anticoagulants, opioids, and diabetes agents. 

Click here for more details. 

NYC Nursing Home Providers Emergency Preparedness Training


Several federal agencies, including the Federal Emergency Management Agency (FEMA), the Administration for Community Living, the Centers for Medicare & Medicaid Services, and the Substance Abuse & Mental Health Services Administration, are holding this Ready Seniors symposium for health care and community service providers to talk about emergency preparedness for organizations that serve the senior population.

Discussion will center on weather events that may cause service interruption and threaten continued provider service.

Attached is a flyer with details and the agenda for the day.


Date: March 13, 2018

Time: 8:30AM – 3:30PM

Location: 26 Federal Plaza, 6th Floor Conference Center, New York, NY 10278

To register, please email Devin Kerins at