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The Centers for Medicare & Medicaid Services (CMS) has published a key proposed rule that would significantly impact the revised requirements for participation for Medicare- and/or Medicaid-certified long-term care facilities—and require implementation delays for some pending Phase 3 requirements. Proposals in the Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency Proposed Rule would affect the requirements for participation related to resident rights, clinical care, documentation requirements, and survey. These changes would range from substantially reducing the detailed, specific requirements in the Quality Assurance and Performance Improvement (QAPI) regulations to removing the existing prescription renewal requirements for PRN antipsychotic medications to make them the same as the prescription renewal requirements for other psychotropic medications.
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