The official version of Appendix PP is now posted. Please see the links below for the more information.
https://www.hhs.gov/guidance/document/revisions-state-operations-manual-som-appendix-pp-1
The official version of Appendix PP is now posted. Please see the links below for the more information.
https://www.hhs.gov/guidance/document/revisions-state-operations-manual-som-appendix-pp-1
The Missouri Department of Health and Senior Services (DHSS) has issued an emergency waiver to assist Missourians in need of critical prescription medications following the devastating tornadoes and severe weather that struck Missouri on May 16.
The action comes after Governor Mike Kehoe issued Executive Order 25-24 authorizing DHSS to temporarily waive or suspend any statutory or administrative rule under its purview to allow medical professionals to better assist those affected by storms
The provisions of § 195.010-195.100 and their attendant regulations and 195.060, RSMo, are partially waived to allow pharmacists to fill controlled substance prescriptions for patients in disaster-impacted areas without the presentation of a written prescription and if the pharmacist determines within his or her professional judgment that an extended supply is needed to avoid interruptions to patient care.
This will ensure that individuals whose prescriptions or prescription records were lost or destroyed, or whose original prescribing physician is unavailable, can continue to receive needed medications even if the pharmacy has not previously dispensed or refilled the prescription.
CMS is aware that access to the reporting of the annual National Healthcare Safety Network (NHSN) Influenza Vaccination among Healthcare Personnel data was not available for a short time on May 15th. In response to this circumstance CMS is extending the deadline for reporting this information to the Centers for Disease Control and Prevention NHSN to Friday, May 23, 2025, at 11:59 PM ET.
Note: This extension does NOT apply to Minimum Dat Set (MDS) data.
Each May, the Administration for Community Living leads the celebration of Older Americans Month (OAM). The theme for OAM 2025 is Flip the Script on Aging, which focuses on transforming how society perceives, talks about, and approaches aging.
This May, the Department of Health and Senior Services (DHSS) invites everyone to explore the benefits of growing older. No matter the age, it is always possible to honor older adults’ contributions, explore the many opportunities to stay active and engaged as we age, and highlight opportunities for purpose, exploration, and connection that come with aging.
Likewise, DHSS encourages each of you to also take time to celebrate OAM this month. As you make plans to host an event in your local community or become aware of other community events, please share the event information with us so we may add and promote it on our DHSS website, Health.Mo.Gov/oam.
DHSS thanks you for your partnership. Please join us in celebrating OAM as well as recognizing older adults as strong and diverse resources in our local communities!
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls (Volume 12, Issue 3).
In this issue:
Any registered supplemental health care services agency that contracts with a health care facility participating in Medicare or Medicaid is required to submit quarterly reports to the department that contain the following information:
Pursuant to section 198.644, RSMo, the department is required to prepare an annual report of aggregate data received from the agencies without including information specific to any one agency. This report summarizes data received by the department in 2024, which was the first full year the department received reports.
The 2024 report can be found here: https://health.mo.gov/safety/shcsa/annual-report.html.
Creative writing and artistic expression are meaningful and compelling ways to highlight the importance of residents’ rights and how these rights can be carried out in all long-term care settings. The Resident’s Voice Challenge encourages residents to submit essays, poems, artwork, drawings, or videos related to the theme.
In celebration of Consumer Voice’s 50th Anniversary, we are creating a coffee table book featuring residents’ voices. We’re seeking creative artwork (posters, paintings, drawings) or written entries (essays, poems) of 50 words or less. Individuals whose entries are selected for inclusion in the book will receive a complimentary copy of the book.
Use these questions to inspire you:
How to Submit
Submissions featuring photo or videos must include completed release forms for each resident.
There has been some recent confusion regarding hot water temperatures in federally certified nursing facilities. CMS released an initial draft of the critical element pathway (CEP) for Accidents that showed shower temperatures should be at 100 degrees; however, that specificity was removed from the final draft of the CEP that went into effect in April 2025. CMS does not require specific water temperatures for showers. Facilities may allow for resident preference as long as temperatures are maintained at safe levels to prevent burns and within the state regulation (19 CSR 30-85.012(97)) parameters of 105 degrees and 120 degrees.
The Family Support Division has created a new e-mail box for nursing home providers to send all email inquiries to. This box was set up to provide one e-mail to contact instead of the four different e-mail address previously utilized. Effective immediately please start using this new address to send e-mail inquiries to FSD.IM.Vendor.Inquiries@dss.mo.gov.
See the full notification memo from FSD at: NH-E-mail-Letter-4-25-25.pdf.
Payroll-Based Journal (PBJ) Submission Deadline Reminder
Nursing homes are required to electronically submit direct care staffing information to the Payroll-Based Journal (PBJ) system. Submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely. PBJ data for 1/1/25 through 3/31/25 is due May 15, 2025. Please submit PBJ data as soon as possible to avoid delays.
SNF Quality Reporting Program (QRP) Submission Deadline Reminder
SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. The following data must be submitted no later than 11:59 p.m. on May 15, 2025:
Swingtech sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.
Please see the most frequently cited deficiencies report from the first quarter of 2025.
CMS has confirmed the revisions to Appendix PP effective 4/28/25 are on track for implementation for Medicaid and Medicare Certified Nursing Facilities.
This information is intended for Facility users of the Long-term Care Component (LTC) of NHSN.
Long-term care facilities (LTCF) participating in the Healthcare-Associated Infection (HAI) modules, including those tracking urinary tract infections, laboratory-identified events for C. difficile, multidrug-resistant organisms, and prevention process measures, are required to complete and submit the LTCF Annual Facility Survey in the NHSN application portal.
Although the deadline of March 1st has passed, facilities can still complete the survey to retain full access to all previous HAI data and functionality. While the Annual Facility Survey is not required for facilities only reporting in the Respiratory Pathogens and Vaccination (RPV) module, we highly encourage all LTCFs to complete it. Your participation helps to provide more tailored resources and support for the Long-Term Care community.
Here’s a summary of the key details to assist with completing and submitting the survey:
Submission Requirements:
Important Reminder: Surveys submitted via email will not be accepted.
Alert: Although completing the survey is not mandatory for facilities primarily reporting in the Respiratory Pathogens and Vaccination module, it is encouraged. Consequently, the Alert will remain visible on your dashboard.
Paper Form: A paper version of the survey (for data recording purposes only) and the table of instructions are available at the following links:
Important Note: We encourage users responsible for submitting the annual survey to review the form before accessing it within NHSN. You may need to consult with other members of your organization to complete certain questions.
Additionally, a guidance document on how to complete the annual survey can be found here on the NHSN webpage.
Please use NHSN-ServiceNow to submit questions to the NHSN Help Desk. The portal can be accessed here or through your CDC Secure Access Management Services (SAMS) account. After logging into SAMS, the NHSN-ServiceNow link is located at the bottom of the page.
Thank you for your continued commitment to improving care in long-term care settings.
The Missouri Office of the State Long-Term Care Ombudsman Program is pleased to present the FFY 2024 Annual Report. The Older Americans Act states the State Ombudsman Office shall independently develop, provide final approval of, and disseminate an annual report as set forth in section 712(h)(1) of the Act (42 U.S.C. 3058g(h)(1).
The annual report contains an analysis of Ombudsman program data, describes problems experience by long-term care residents, recommendations for improvements to quality of care and life, successes of the program and barriers that prevent optimal operation of the program.
Thank you for taking some time to review the annual report and learn more about the important role Ombudsman have in Missouri.
Facilities required to report annual healthcare personnel (HCP) influenza vaccination data through NHSN must do so by May 15, 2025 to meet CMS reporting requirements for the 2024-2025 influenza season.
Below is a summary of key information about this requirement.
Which facilities are required to report these data?
What data are submitted?
How should facilities submit these data?
Who can activate the HPS Component?
How can LTCFs add the HPS Component?
Where can facilities access training materials?
Who do facilities contact with questions?
Please use NHSN-ServiceNow (accessed here) to submit questions to the NHSN Help Desk. Users will be authenticated using CDC’s Secure Access Management Services (SAMS), the same way you access NHSN. If you do not have a SAMS login or are unable to access ServiceNow, you can e-mail the NHSN Help Desk at nhsn@cdc.gov.
Thank you for your efforts with reporting annual HCP influenza vaccination summary data through NHSN.
The Central Office Medical Review Unit (COMRU) has scheduled monthly orientation training to review the requirements of the Pre-Admission and Resident Review (PASRR) and Nursing Facility Level of Care (LOC) application process. These on-line trainings will be one-hour in length and hosted by Ammanda Ott, RN Supervisor for COMRU. Each training is limited, so register soon!
Please see the registration link here for complete details and ongoing dates.
The Spring 2025 issue of The Resident Advocate is now available. This newsletter provides information on residents’ rights and care issues; news and updates on national policy; and self-advocacy tips for obtaining person-centered, quality care.
This issue includes information on:
The Resident Advocate is a great resource to share with long-term care residents. Nursing home staff, long-term care Ombudsman programs, family members, and other advocates are encouraged to forward this newsletter to residents or print and share copies. Download this issue or past issues from the website.
Do you…..
❍ need a leadership course that addresses the unique challenges SNF leaders face?
❍ want to feel inspired and passionate about leading your SNF?
❍ want to connect with other SNF leaders and have access to free professional development, tools, and resources?
❍ want free CE credit without sacrificing quality and practical application?
❍ want to have the flexibility to learn at the pace and place the works best for you?
If you answer YES to any of these questions, this course may be for YOU!
Take the survey now to see if you qualify for FREE registration.
For more details, please visit the website.
Course ends: October 31, 2025
A reminder that residents may choose the pharmacy of their choice. State regulation that applies to all levels of care states:
19 CSR 30-88.010(40) Each resident shall be allowed the option of purchasing or renting goods or services not included in the per diem or monthly rate from a supplier of his or her own choice, provided the quality of goods or services meets the reasonable standards of the facility. Each resident shall be allowed the option of purchasing his or her medications from a pharmacy of his or her choice, provided the quality of the medications and packaging meets reasonable standards of the facility.
Information related to MDS Reviews being conducted by Myers and Stauffer LC on behalf of the MO HealthNet Division and Change of Ownership during the MDS Reviews can be found here. Further clarification on Change of Ownership can be obtained by reaching out to MO_MDSINFO@mslc.com.
The Missouri Nurse Aide Candidate Handbook for CNA testing has been updated effective February 2025.
Please see the changes and let us know if you have any questions. You may contact us at the CNARegistry@health.mo.gov or call us at 573-526-5686.
Click here to learn about The Einstein Option then join them for a Virtual Event on Wednesday, February 26 from 12:00 – 1:00 to learn about the key discussions, outcomes, and the next steps identified during their summit.
The Division of Senior and Disability Services (DSDS) is seeking additional Direct Service Workers to join the existing panel. Last year we received valuable information from our panelist and are excited to continue the work through this year. We are seeking Direct Service Workers currently working in the role with experience and knowledge to share. If you know of someone who would be a great contribution to this panel, please send this application information for consideration. Click the image below to learn more and apply.
Any questions should be directed to the Bureau of Policy and Quality Enhancements at LTSS@health.mo.gov.
Payroll-Based Journal (PBJ) Submission Deadline Reminder
Nursing homes are required to electronically submit direct care staffing information to the Payroll-Based Journal (PBJ) system. Submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely. PBJ data for 10/1/24 through 12/31/24 is due February 14, 2025. Please submit PBJ data as soon as possible to avoid delays.
SNF Quality Reporting Program (QRP) Submission Deadline Reminder
SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. The following data must be submitted no later than 11:59 p.m. on February 18, 2025:
Swingtech sends informational messages to SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.