CMS Memo: Fiscal Year (FY) 2014 Post Sequester Adjustment for Special Focus Facility (SFF) Nursing Homes

S&C: 14-20-NH

Memorandum Summary:

  • Revised total SFF Slots:  Effective April 2014, we have adjusted the number of designated slots and candidates so States can resume selecting and replacing nursing homes for SFF designation.
  • Adjustment to Number of Slots:  Pursuant to the FY2013 budget sequestration, we reduced the number of SFF slots. We are now re-building the program by a gradual increase in the number of SFF slots from its reduced base. Later, we will also introduce additional methods to address persistently poor quality in nursing homes.
  • Phase in period: States may have the option to start selecting SFFs immediately or phase in the total to meet the required number by July 2014.
  • Continuation of Program Changes: As outlined previously the Centers for Medicare & Medicaid Services (CMS) Regions and States will continue with the Programmatic and Operational Adjustment by conducting the 18-month “last chance” onsite survey and reviewing the progress of all facilities that have been on the SFF list for more than 12 months.

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