{"id":15361,"date":"2022-04-18T17:48:40","date_gmt":"2022-04-18T17:48:40","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=15361"},"modified":"2025-10-13T13:06:02","modified_gmt":"2025-10-13T13:06:02","slug":"removal-of-temporary-emergency-waivers-for-nursing-home","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/","title":{"rendered":"Removal of Temporary Emergency Waivers for Nursing Home"},"content":{"rendered":"

During the Public Health Emergency (PHE), The Centers for Medicare & Medicaid Services (CMS) used a combination of emergency waivers, regulations, and sub-regulatory guidance to offer healthcare providers the flexibility needed to respond to the pandemic. In certain cases, these flexibilities suspended requirements in order to address acute and extraordinary circumstances. <\/span><\/p>\n

Now, CMS is taking steps to continue to protect nursing home residents\u2019 health and safety by announcing guidance that restores certain minimum standards for compliance with CMS requirements. We shared a recent update on the removal of temporary emergency waivers for nursing home, inpatient hospices, ICF\/IIDs, and ESRD facilities.<\/span><\/p>\n

Emergency Waivers for Nursing Home<\/h2>\n

Restoring these standards will be accomplished by phasing out some temporary emergency declaration waivers that have been in effect throughout the COVID-19 PHE. These temporary emergency waivers were designed to provide facilities with the flexibility needed to respond to the COVID-19 pandemic. <\/span><\/p>\n

CMS is ending specific waivers in two groups: one group of waivers will terminate 30 days from the issuance of this new guidance, and the other group will terminate 60 days from issuance. These timeframes give providers and state agencies time to adjust their operations to the reinstituted requirements.<\/span><\/p>\n

With steadily increasing vaccination rates for nursing home residents and staff, and with overall improvements seen in nursing homes\u2019 abilities to respond to COVID-19 outbreaks, CMS is taking steps to phase out certain flexibilities that are generally no longer needed to re-establish certain minimum standards while continuing to protect the health and safety of those residing in skilled nursing facilities\/nursing facilities (SNFs\/NFs). <\/span><\/p>\n

Similarly, some of the same waivers are also being terminated for inpatient hospices, intermediate care facilities for individuals with intellectual disabilities (ICF\/IIDs), and end-stage renal disease (ESRD) facilities.<\/span><\/p>\n

CMS\u2019s recent long-term care (LTC) survey provided insight into issues with resident care that are unrelated to infection control, such as increases in residents\u2019 weight loss, depression, and pressure ulcers. The lack of certain minimum standards, such as training for nurse aides, may be contributing to these issues. <\/span><\/p>\n

By ending some of the temporary waivers, CMS is helping nursing homes to redirect efforts back to meeting the regulatory requirements aimed at ensuring each resident\u2019s physical, mental, and psychosocial needs are met. In addition, CMS expects providers to have integrated practices to address any COVID-19 outbreaks in their normal operations.<\/span><\/p>\n

CMS<\/a> will maintain flexibility for certain requirements, such as making temporary waivers available for nurse aides\u2019 certification if there are documented capacity issues in training or testing programs, and CMS will retain the ability until the expiration or termination of the national COVID-19 PHE to issue individual state-based, county-based, or facility-based waivers as needed. <\/span><\/p>\n

Centers for Disease Control & Prevention and CMS data, tracking trends in the number of COVID-19 cases in local communities and nursing homes, provide CMS with the ability to grant waivers in specific situations. <\/span><\/p>\n

For example, if there is a severe outbreak in a facility or geographically distinct group of facilities, CMS can quickly grant waivers to support the facilities\u2019 response to COVID-19.\u00a0<\/span> If there is a nationwide surge of nursing home COVID-19 cases in the future, CMS can quickly re-issue national blanket waivers during the PHE.<\/span><\/p>\n

Outsourcing Skilled Nursing Facility Billing to MBC<\/h2>\n

Medical Billers and Coders (MBC)<\/b><\/a> is a leading medical billing company providing complete revenue cycle services. Our team keeps a close watch on revised billing guidelines to ensure accurate insurance reimbursements.<\/span><\/p>\n

To know more about our Emergency Waivers for Nursing Home services, contact us at info@medicalbillersandcoders.com<\/a>\/ 888-357-3226<\/a><\/span><\/p>\n

Reference: <\/span>CMS Returning to Certain Pre-COVID-19 Policies in Long-term Care and Other Facilities<\/span><\/a><\/p>\n

FAQs<\/h2>\n\n\n
1. Why is CMS ending emergency waivers for nursing homes?<\/strong>

CMS is restoring certain minimum standards for compliance as vaccination rates increase and nursing homes improve their ability to manage COVID-19 outbreaks.<\/p> <\/div>

2. How will these waivers be phased out?<\/strong>

CMS is ending specific waivers in two groups: one will terminate 30 days after the guidance is issued, and the other will end 60 days from issuance, allowing time for providers to adjust.<\/p> <\/div>

3. What impact has the PHE had on nursing homes?<\/strong>

Issues such as weight loss, depression, and pressure ulcers in residents have been noted, with some problems related to the lack of training for nurse aides and other minimum standards.<\/p> <\/div>

4. What flexibility will remain?<\/strong>

CMS will continue to offer temporary waivers for nurse aide certification if there are documented capacity issues, and individual state or facility-based waivers may be issued if needed.<\/p> <\/div>

5. What happens if there’s another COVID-19 surge?<\/strong>

CMS can grant waivers in specific situations, such as severe outbreaks, and may re-issue national waivers if there is a nationwide surge in COVID-19 cases.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"

During the Public Health Emergency (PHE), The Centers for Medicare & Medicaid Services (CMS) used a combination of emergency waivers, regulations, and sub-regulatory guidance to offer healthcare providers the flexibility needed to respond to the pandemic. In certain cases, these flexibilities suspended requirements in order to address acute and extraordinary circumstances. Now, CMS is taking […]<\/p>\n","protected":false},"author":2,"featured_media":15362,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[378],"tags":[2540,50,3381,3382,3383,12,3384,3385],"class_list":["post-15361","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-snf-billing-services","tag-billing-guidelines","tag-centers-for-medicare-medicaid-services","tag-covid-19-phe","tag-emergency-waivers","tag-emergency-waivers-for-nursing-home","tag-medical-billing-services-2","tag-removal-of-temporary-emergency-waivers-for-nursing-home","tag-skilled-nursing-facilities-nursing-facilities-snfs-nfs"],"yoast_head":"\nRemoval of Temporary Emergency Waivers for Nursing Home<\/title>\n<meta name=\"description\" content=\"We shared a recent update on the removal of temporary emergency waivers for nursing home, inpatient hospices, ICF\/IIDs, and ESRD facilities.\" \/>\n<meta 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How will these waivers be phased out?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CMS is ending specific waivers in two groups: one will terminate 30 days after the guidance is issued, and the other will end 60 days from issuance, allowing time for providers to adjust.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/#faq-question-1760360718489","position":3,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/#faq-question-1760360718489","name":"3. What impact has the PHE had on nursing homes?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Issues such as weight loss, depression, and pressure ulcers in residents have been noted, with some problems related to the lack of training for nurse aides and other minimum standards.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/#faq-question-1760360727101","position":4,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/#faq-question-1760360727101","name":"4. What flexibility will remain?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CMS will continue to offer temporary waivers for nurse aide certification if there are documented capacity issues, and individual state or facility-based waivers may be issued if needed.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/#faq-question-1760360735941","position":5,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/removal-of-temporary-emergency-waivers-for-nursing-home\/#faq-question-1760360735941","name":"5. What happens if there's another COVID-19 surge?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CMS can grant waivers in specific situations, such as severe outbreaks, and may re-issue national waivers if there is a nationwide surge in COVID-19 cases.","inLanguage":"en-US"},"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/15361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/comments?post=15361"}],"version-history":[{"count":6,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/15361\/revisions"}],"predecessor-version":[{"id":26416,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/15361\/revisions\/26416"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media\/15362"}],"wp:attachment":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media?parent=15361"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/categories?post=15361"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/tags?post=15361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}