New York / Federal Vaccine Requirements For LTC Facilities

June 8, 2021

  In a Dear Administrator Letter (“DAL”) dated May 28, 2021, the New York State Department of Health highlights the differing requirements long-term care (“LTC”) facilities must meet regarding COVID-19 vaccinations under recent federal and state regulations. Under federal regulations adopted by CMS effective May 21, 2021 (42 C.F.R. §§483.80[d][3] and [g][viii]–[ix]), LTC facilities must: …

Pending Changes In The Law Will Impact Many Estate Plans

  Due to impending estate and economic changes on the horizon, now is the time to review your estate plan to make sure it is in order. Several tax proposals have been introduced that if enacted will significantly increase income, gift, and estate taxes.  Introduction of these proposals means that the window for making changes …

MACs Expanding Post-Payment Medical Reviews

June 4, 2021

  The Centers for Medicare & Medicaid Services (CMS) released a notice on June 3, 2021 advising that Medicare Administrative Contractors (MACs) may now begin conducting post-payment medical reviews of items and services for dates of service March 2020 and after.  Previously, MACs had resumed post-payment reviews only for dates of service before March 2020.   …

HRSA Directs Drug Makers To Resume 340B Pricing For Contract Pharmacies Immediately

May 18, 2021

  In a major win for 340B covered entities, which includes among others certain hospitals and, FQHCs, the Health Resources and Services Administration (HRSA) sent letters on May 17, 2021 to six pharmaceutical manufacturers informing them that they could no longer restrict 340B pricing to covered entities that use contract pharmacies.  Covered entities are permitted …

Staffing Legislation Impacts New York Nursing Homes

May 7, 2021

  On May 5, 2021, the New York State legislature approved two bills with differing requirements related to clinical staffing for hospitals and nursing homes.  With a goal of improving both patient and staff safety, as well as patient outcomes, the Governor is expected to sign each bill (A07119 and A00108B) into law soon.  This …