The Iowa Department of Health and Human Services (DHHS) and local public health agencies are responding to an outbreak of measles in southern Iowa. As of Aug.16, twelve confirmed cases of measles have been identified, with evidence of person-to-person spread. Iowa DHHS and local public health agencies are working closely with affected families and community leaders to identify illnesses, share information and ensure access to vaccination. Iowa DHHS and local health officials have identified locations visited by individuals while contagious, where others might have been exposed to measles. Anyone present at the following locations listed in this article during the listed date and time should monitor for symptoms of measles.
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CMS recently announced that Payroll-Based Journal (PBJ) functionality is now live in the Internet Quality Improvement and Evaluation System (iQIES). All PBJ submissions must now be completed in iQIES.
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Effective July 1, 2026, Iowa implemented a new law, Iowa Code Chapter 144H, establishing a legal process for transferring adult patients between care facilities when the patient is unable to provide informed consent and no legally authorized decision-maker is readily available. The law was created through HF 2562 and is intended to help address situations that have historically delayed appropriate placement or discharge planning.
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Health care-associated infection (HAI) outbreaks move fast. CaseTrace, a new resource from the Centers for Disease Control and Prevention (CDC) is now available to help health care providers investigate HAI outbreaks faster and minimize potential patient exposures. CaseTrace is a free, browser-based tool designed to help outbreak investigators and health care facilities understand patient movement within and across health care settings. It maps potential patient exposures to a HAI pathogen in a graphical timeline to help investigators identify potential transmission events more quickly and with greater detail than traditional line list review.
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CMS has released new survey resources to support the national implementation of the Risk-Based Survey (RBS) process for nursing homes. Beginning Sept. 8, CMS will implement this new approach nationwide, marking one of the most significant changes to the nursing home survey process in nearly a decade. Facilities should not view the RBS as a shortcut or reason to reduce survey readiness efforts. Instead, CMS's approach reinforces the importance of maintaining strong systems of quality assurance, staffing stability, regulatory compliance and accurate reporting year-round.
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CMS recently finalized the removal of the Healthcare Personnel (HCP) COVID-19 Vaccination Measure from the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) in the Fiscal Year (FY) 2027 SNF Prospective Payment System (PPS) Final Rule. As a result, nursing homes are no longer required to report calendar year (CY) 2026 HCP COVID-19 Vaccination Measure data for the FY 2028 payment determination. SNFs that do not report this data will not be penalized through the FY 2028 annual payment update under the SNF QRP. Make sure staff responsible for National Healthcare Safety Network (NHSN) reporting understand that only the HCP COVID-19 Vaccination Measure has been removed from the SNF QRP, but other required NHSN reporting continues.
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CMS is offering a web-based training that provides an overview of Section K of the Minimum Data Set (MDS). The course reviews the purpose, assessment steps, coding instructions, coding tips, key definitions and calculation methods for accurately assessing and coding Section K items.
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As summer continues, the Centers for Disease Control and Prevention (CDC) is reminding the public to be aware of cyclosporiasis, an intestinal illness caused by the microscopic parasite Cyclospora cayetanensis.
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The National Center for Assisted Living (NCAL) will offer a complimentary webinar, Fire Safety and Evacuation – Best Practices for Assisted Living (AL) Providers, on Sept. 1 at 1:00 p.m. This one-hour program will focus on best practices and regulatory expectations for AL fire safety and evacuation planning. The essential elements of an effective and compliant fire safety program will be reviewed including staffing levels, building features, resident capability, training, drills and coordination with the local fire department.
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This week's Compliance Store newsletter highlights how to make informed and defensible admission decisions. Nursing homes have both the right and responsibility to determine whether they can safely meet a prospective resident’s needs. Admission decisions should be individualized, objective, consistent and well documented. Taking this approach helps facilities protect resident rights while making admission decisions that are clinically appropriate, nondiscriminatory and defensible during regulatory review. Additional updates from this week's newsletter include a Payroll Based Journal (PBJ)reminder, Health Alert Network (HAN) Health Advisory, new regulatory resources and more.
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The deadline to submit Payroll Based Journal (PBJ) data for quarter 3 (April 1 – June 30, 2026) is this Friday, Aug. 14, 2026. If you have not already submitted your data, now is the time to complete your submission and avoid last-minute issues. Early submission provides time to review validation reports, correct any errors and resubmit, if necessary, before the deadline.
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CMS continues to prepare nursing homes and vendors for the transition of Payroll-Based Journal (PBJ) submissions and reporting from the current Quality Improvement and Evaluation System (QIES) to the Internet Quality Improvement and Evaluation System (iQIES). Beginning Aug. 17, 2026, all PBJ submissions and reporting activities will transition to iQIES. As a reminder, the transition to iQIES will not change PBJ reporting requirements or quarterly submission deadlines. Facilities will need to ensure staff responsible for PBJ reporting have completed the necessary steps to obtain access to iQIES before the transition occurs.
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CMS is notifying skilled nursing facilities (SNFs) that were found to be out of compliance with SNF Quality Reporting Program (QRP) requirements for calendar year 2025. Facilities that do not meet the reporting requirements will receive a two-percentage point reduction to their fiscal year 2027 Annual Payment Update.
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On Thursday, July 9, IHCA hosted its monthly Home Care Provider Update Call to discuss the most recent changes and updates for the home health and home care professions. Conversation covered the home health proposed rule, a national moratorium on home health and hospice, Iowa Medicaid rate updates, Early and Periodic Screening, Diagnostic and Treatment cost reports implementation timeline, upcoming education events and more.
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The National Center for Assisted Living (NCAL) will offer a complimentary webinar, Fire Safety and Evacuation – Best Practices for Assisted Living (AL) Providers, on Sept. 1 at 1:00 p.m. This one-hour program will focus on best practices and regulatory expectations for AL fire safety and evacuation planning. The essential elements of an effective and compliant fire safety program will be reviewed including staffing levels, building features, resident capability, training, drills and coordination with the local fire department.
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This week's Compliance Store resources include resident and family council support, Payroll Based Journal (PBJ) resources for the Internet Quality Improvement and Evaluation System (iQIES), including the iQIES Staffing Data Submission PBJ User Manual, iQIES PBJ Error Message Reference Guide and more.
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IHCA continues to review the Iowa Administrative Bulletin for potential impacts to long-term care providers. The July 22 and Aug. 5 issues include regulatory analyses regarding nursing education programs and dependent adult abuse, a newly adopted rule related to quality improvement initiative grants.
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The latest Your Top-Line publication is now available for skilled nursing facilities. Your Top-Line is a Long-Term Care (LTC) Trend Tracker℠ publication that includes metrics and graphics, using data from CMS Five-Star Rating’s July refresh, outlining skilled nursing centers' progress on Five-Star performance, the AHCA/NCAL Quality Initiative, their journey through the Quality Awards program and other necessary data to help skilled nursing centers achieve their desired goals.
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Skilled nursing facilities, assisted living communities and intellectual disability/developmental disability centers are required by the Occupational Safety and Health Administration's (OSHA’s) Respiratory Protection Standard to establish and maintain a respiratory protection program when employees are exposed to airborne hazards, including infectious agents such as COVID-19 and other respiratory illnesses. To assist care providers in meeting these federal requirements, AHCA/NCAL, in collaboration with MCA Consulting, LLC, has developed a comprehensive Respiratory Protection Plan training and toolkit. This all-in-one resource contains everything needed for full compliance with OSHA’s Respiratory Protection Standard, including a customizable template plan, essential forms, training videos and detailed reference guides.
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An updated version of the Iowa Department of Inspections, Appeals and Licensing (DIAL) Health and Safety Division Long-Term Care (LTC) Bureau, Acute and Continuing Care (ACC) Bureau and Health Facilities map is now available.
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The deadline to submit Payroll Based Journal (PBJ) data for quarter 3 (April 1 – June 30, 2026) is next Friday, Aug. 14, 2026. If you have not already submitted your data, now is the time to complete your submission and avoid last-minute issues. Early submission provides time to review validation reports, correct any errors and resubmit, if necessary, before the deadline.
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As a reminder, the Skilled Nursing Facility (SNF) Data Validation Process for the SNF Value-Based Purchasing and Quality Reporting Programs is now in effect. Selected SNFs will be notified through their Internet Quality Improvement and Evaluation System (iQIES) Minimum Data Set (MDS) 3.0 Provider Preview Report folder and must submit medical chart documentation for ten MDS assessments within 45 days to avoid a 2% Medicare reimbursement penalty. Facilities are encouraged to begin checking their iQIES folders weekly and seek additional guidance from CMS, if needed.
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This week's Compliance Store (TCS) resources include details on the fiscal year 2027 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule, vaccine consent form templates, insight on the Protecting Patients from Automated Denials Act and more.
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The August 2026 Performance Score Reports (PSRs) for the fiscal year (FY) 2027 Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). The August 2026 PSRs provide SNFs their performance information for the FY 2027 SNF VBP Program year, including the incentive payment multiplier. The FY 2027 SNF VBP Program year is the first to assess performance on eight quality measures rather than four measures, as part of an expansion of the SNF VBP Program. SNFs may submit requests for corrections to their performance score and ranking up to 30 days following this report being made available, until Aug. 30, 2026.
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The deadline to submit Payroll Based Journal (PBJ) data for quarter 3 (April 1 – June 30, 2026) is Aug. 14, 2026. If you have not already submitted your data, now is the time to complete your submission and avoid last-minute issues. Early submission provides time to review validation reports, correct any errors and resubmit, if necessary, before the deadline.
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This week's Compliance Store (TCS) resources include proper medication labeling and storage guidelines, reminders for employee linking in the Payroll Based Journal, tracheostomy and catheter care policies, an updated vaccine storage and handling toolkit and more.
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On July 1, 2026, the Iowa Department of Inspections, Appeals and Licensing’s (DIAL) certified medication aide (CMA) search was made available to providers and the public. This addition to the long-standing certified nursing assistant registry is a result of IHCA’s 2026 legislative efforts. Meant to serve as a primary source reference for providers and the public to verify credentials of CMAs, this valuable tool will assist providers to determine which candidates have successfully completed the requirements to serve as CMA in Iowa’s nursing homes, assisted living programs, residential care facilities and other settings.
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The deadline to submit Payroll Based Journal (PBJ) data for quarter 3 (April 1 – June 30, 2026) is Aug. 14, 2026. If you have not already submitted your data, now is the time to complete your submission and avoid last-minute issues. Early submission provides time to review validation reports, correct any errors and resubmit, if necessary, before the deadline.
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The July 2026 skilled nursing facility (SNF) survey trend report is now available in the IHCA Member Resource Center and highlights the most frequently cited tags and regulatory outcomes from Iowa SNFs. Sponsored by HPSI Purchasing Services, this member-only resource is a helpful tool for survey readiness and planning, with data largely reflecting surveys completed about two months prior to publication. The report also recognizes IHCA member facilities that achieved a deficiency-free recertification survey.
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This week's Compliance Store (TCS) resources include details on the new TCS Plan of Correction + (POC+), an ai-assisted technology designed to streamline the POC development process, Centers for Disease Control and Prevention (CDC) health advisory regarding cyclosporiasis, new Quality, Safety and Oversight (QSO) letters, a revised long-term care survey process (LTCSP) procedure guide, updated SNF Provider Preview Reports and more.
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CMS recently posted an update to the Five-Star Quality Rating System Technical User’s Guide, effective with the July 2026 refresh. CMS is implementing an increase to the quality measure (QM) rating thresholds, increasing each rating threshold by one-half of the average improvement in QM scores (as previously outlined in QSO 19-08-NH). While the thresholds used to assign QM star ratings have increased, the point thresholds for the individual QMs have not changed. As a result, some facilities may need higher overall QM performance to maintain the same QM star rating.
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Several of Iowa’s licensing boards have recently received reports of scammers calling licensees and posing as board investigators, claiming to have received complaints against that licensee. If a potential scam victim believes a caller could be from a licensing board but is unsure, they should take a name, hang up and call the Iowa Department of Inspections, Appeals and Licensing (DIAL). Anyone who receives a suspicious call should protect their confidential information and not engage with anyone claiming to be an Iowa licensing board staff member until they can confirm via return call that the request is legitimate.
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The July assisted living (AL) survey trend report is now available in the IHCA Member Resource Center. This member-only report highlights the most common regulatory insufficiencies and is intended to help AL programs improve survey quality and prepare for future surveys. Congratulations to the IHCA AL members that recently achieved an insufficiency-free survey.
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Recent Iowa assisted living program survey activity highlights an important opportunity for providers to strengthen systems designed to protect tenants who are at risk for wandering or elopement. Providers should take time now to review whether their current practices match both the regulatory requirements and their own policies. By proactively reviewing these areas, providers can enhance tenant safety while demonstrating strong regulatory compliance.
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This week's Compliance Store resources include tips on how to empower residents through person-centered care, two recalls on the Fresenius Kabi Ivenix Large Volume Infusion Pump, customizable infection prevention and control (IPC) policy templates and more. Learn how to access these materials through your free IHCA member benefit.
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The Nurse Licensure Compact (NLC) will offer a free webinar, "How Does Primary State of Residence Impact the Multistate License?," next Tuesday, July 21 at 2:00 p.m. Additionally, the NLC will host another complimentary webinar regarding multistate licenses for LPNs/VNs in late August.
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With the 2026 election quickly approaching, long-term care providers can play a significant role in helping residents exercise their right to vote. Every election, seniors and other residents have a right to make their voices heard, and providers should make every effort to help them in doing so, including completing prior research, providing resources and assisting residents in following federal regulations, registering to vote and voting at the polls or via mail-in ballot.
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Resident choice is a key component of person-centered care. Interpretive guidance, located in Appendix PP of the State Operations Manual, reminds nursing homes that residents have the right to participate in decisions about their care, including whether to accept or refuse medications. Guidance on this topic is located under F552, Right to be Informed/Make Treatment Decisions. To ensure compliance, providers should review their processes and ensure staff understand their responsibilities on a routine cadence.
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IHCA recently shared CMS’ notification about transitioning Payroll Based Journal (PBJ) reporting to the Internet Quality Improvement and Evaluation System (iQIES), effective with the Q4 2026 submission, which closes Nov. 14, 2026. Last week, CMS shared additional information with providers. Members are encouraged to review the information and begin gaining access to IQIES PBJ User Roles immediately to avoid delays in reporting.
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This week's Compliance Store highlights include new proposed changes to a Medicare provider enrollment requirements, a COVID-19 emergency use authorization (EUA) declaration terminations notice, tracheostomy care policy and additional regulatory resources for skilled nursing facilities. Learn how to access these materials through your free IHCA member benefit.
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As a reminder, the Skilled Nursing Facility (SNF) Data Validation Process for the SNF Value-Based Purchasing and Quality Reporting Programs is now in effect. Selected SNFs will be notified through their Internet Quality Improvement and Evaluation System (iQIES) Minimum Data Set (MDS) 3.0 Provider Preview Report folder and must submit medical chart documentation for ten MDS assessments within 45 days to avoid a 2% Medicare reimbursement penalty. Facilities are encouraged to begin checking their iQIES folders weekly and seek additional guidance from CMS, if needed.
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In partnership with the Iowa Department of Health and Human Services (DHHS), The Association for Professionals in Infection Control and Epidemiology (APIC) is offering a complimentary Long-Term Care (LTC) Infection Preventionist Essentials course. This virtual course will take place next week on July 7-9, and will provide live access only.
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Preparing for a life safety survey starts well before surveyors arrive. AHCA’s new Tips for Preparing Before Your Life Safety Survey checklist helps providers organize essential documentation, identify potential gaps and maintain year-round readiness to support a smoother survey process and ongoing regulatory compliance.
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This week's Compliance Store highlights include a new HIV in Long-Term Care resource, PBJ/iQIES transition guidance, June Five-Star updates and additional regulatory resources for skilled nursing facilities. Learn how to access these materials through your free IHCA member benefit and meet your new Compliance Store account manager.
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The June 2026 skilled nursing facility (SNF) survey trend report is now available in the IHCA Member Resource Center and highlights the most frequently cited tags and regulatory outcomes from Iowa SNFs. Sponsored by HPSI Purchasing Services, this member-only resource is a helpful tool for survey readiness and planning, with data largely reflecting surveys completed about two months prior to publication. The report also recognizes an IHCA member facility that achieved a deficiency-free recertification survey.
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The Q1 2026 survey risk briefing for home health report is now available on the IHCA website. This report is a member-only resource that provides listings of the most frequently cited tags and regulatory outcomes from Iowa agencies. Please share this report with the individuals at your organization involved with managing survey success, as it is a helpful resource when planning for future surveys.
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On Thursday, June 11, IHCA hosted its monthly Home Care Provider Update Call to discuss the most recent changes and updates for the home health and home care professions. Conversation covered supported community living services, clarification on Medicare skilled nursing services, quarterly survey results review, upcoming education opportunities and more.
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In partnership with the Iowa Department of Health and Human Services (DHHS), The Association for Professionals in Infection Control and Epidemiology (APIC) is offering a complimentary, virtual Long-Term Care (LTC) Infection Preventionist (IP) Essentials course on July 7-9. Space is limited, so early registration is encouraged.
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CMS announced that, effective Aug. 17, 2026, the Payroll-Based Journal (PBJ) system will transition to the Internet Quality Improvement and Evaluation System (iQIES), CMS's secure cloud-based system. The first PBJ submission through iQIES will be due on Nov. 14, 2026, and providers should take steps now to ensure readiness well before that deadline.
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CMS has posted the 2027 ICD-10-CM, files which contain information on the ICD-10-CM updates for Fiscal Year (FY) 2026. These 2026 ICD-10-CM codes are to be used for resident stays occurring from Oct. 1, 2026, through Sept. 30, 2027. At this time, the FY 2027 ICD-10-CM coding guidelines have not been posted. The ICD-10-CM updates will also be reflected in the FY 2027 Patient-Driven Payment Model (PDPM) ICD-10 mapping tables once they are posted by CMS, which typically occurs after the final rule is released later this summer.
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CMS has released a new fact sheet with valuable clarifications to help skilled nursing facilities determine when an Omnibus Budget Reconciliation Act (OBRA) Discharge Assessment is required. The resource provides a quick reference for Minimum Data Set (MDS) teams and reinforces existing guidance in the MDS 3.0 Resident Assessment Index User's Manual.
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As temperatures rise during the summer months, long-term care providers should be prepared to protect residents from the risks associated with extreme heat. Older adults are particularly vulnerable to heat-related illnesses due to chronic medical conditions, medications, decreased mobility and a reduced ability to regulate body temperature. IHCA encourages facilities to review and update their emergency preparedness plans that address heat emergencies and prolonged air conditioning outages. Visit the IHCA website and The Compliance Store for additional emergency preparedness tools, resources and guidance.
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The Centers for Disease Control and Prevention (CDC) announced updates for the National Healthcare Safety Network (NHSN) Long-Term Care Facility (LTCF) Component for the Respiratory Pathogens Module. Changes include the ability to generate reports for the optional reporting of therapeutic medications and an optional Person-Level Vaccination Form for residents, which now auto-calculates a resident’s vaccination status for COVID-19, influenza and respiratory syncytial virus.
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Strong food and nutrition programs are essential to residents’ health, satisfaction, dignity and quality of life. To support providers in strengthening these efforts, the AHCA Education: Optimizing Excellence in Food and Nutrition Toolkit is now available. This toolkit highlights practical strategies and resources designed to help facilities optimize foodservice operations and enhance the dining experience for residents.
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In partnership with the Iowa Department of Health and Human Services (DHHS), The Association for Professionals in Infection Control and Epidemiology (APIC) is offering a complimentary, virtual Long-Term Care (LTC) Infection Preventionist (IP) Essentials course on July 7-9. Space is limited, so early registration is encouraged.
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The U.S. Department of Labor’s (DOL) Wage and Hour Division recently issued four new opinion letters addressing key wage and hour issues under the Fair Labor Standards Act (FLSA), including overtime exemptions, bonus calculations, meal periods and compensable work time.
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In partnership with the Iowa Department of Health and Human Services (DHHS), The Association for Professionals in Infection Control and Epidemiology (APIC) is offering a complimentary, virtual Long-Term Care (LTC) Infection Preventionist (IP) Essentials course on July 7-9. Space is limited, so early registration is encouraged.
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CMS has released FY 2026 guidance for Federal Monitoring Surveys (FMS), outlining how federal surveyors will oversee state-conducted nursing home surveys, including health, Emergency Preparedness (EP) and Life Safety Code (LSC) Surveys, through Sept. 30, 2026. Due to survey disruptions caused by the 2025 federal government shutdown, CMS reduced the required number of monitoring activities by 10%, resulting in two fewer Resource and Support Surveys in Iowa compared to the previous fiscal year. The guidance also details three federal oversight activities – Resource and Support Surveys, Comparative Surveys and EP/LSC Desk Audits – and notes that CMS may take enforcement action if deficiencies requiring correction are identified.
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The International Code Council (ICC) recently approved restoring nursing homes to Risk Category III for the 2027 International Building Code (IBC). This change is consistent with AHCA’s testimony before the ICC where AHCA emphasized the strength of nursing home preparedness and the negative financial impact the 2024 IBC would have on nursing home construction, renovation and access to care. The full IBC 2027 edition is expected to be released in late 2026.
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CMS is moving guidance and survey procedures for End-Stage Renal Disease (ESRD) facilities to Appendix H of the State Operations Manual. This change aligns ESRD survey guidance with how guidance is organized for other provider types. CMS is also updating the guidance to reflect recent regulatory changes, previous Quality, Safety and Oversight (QSO) memos and technical clarifications for ESRD facility requirements and expectations. This includes guidance and survey processes for home dialysis in nursing homes from QSO-18-24-ESRD.
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The recent Centers for Disease Control and Prevention (CDC) Health Alert Network update regarding hantavirus has understandably raised questions across health care settings, including long-term care (LTC). While headlines involving outbreaks and respiratory illness can quickly generate concern, context is relevant when assessing the true level of risk and operational impact for providers and residents. At this time, the CDC continues to emphasize that the overall risk to the American public remains very low. The current concern is tied to a travel-associated Andes virus outbreak connected to a cruise ship exposure event, not widespread U.S. transmission.
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As a reminder, the Skilled Nursing Facility (SNF) Data Validation Process for the SNF Value-Based Purchasing and Quality Reporting programs is now in effect. Selected SNFs will be notified through their Internet Quality Improvement and Evaluation System (iQIES) Minimum Data Set (MDS) 3.0 Provider Preview Report folder and must submit medical chart documentation for ten MDS assessments within 45 days to avoid a 2% Medicare reimbursement penalty. Facilities are encouraged to begin checking their iQIES folders weekly and seek additional guidance from CMS, if needed.
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On Thursday, May 14, IHCA hosted its monthly Home Care Provider Update Call to discuss the most recent changes and updates for the home health and home care professions. Conversation covered home care policy updates, supportive community living services, electronic visit verification updates, upcoming education opportunities and more.
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The May 2026 skilled nursing facility (SNF) survey trend report is now available in the IHCA Member Resource Center and highlights the most frequently cited tags and regulatory outcomes from Iowa SNFs. Sponsored by HPSI Purchasing Services, this member-only resource is a helpful tool for survey readiness and planning, with data largely reflecting surveys completed about two months prior to publication. The report also recognizes an IHCA member facility that achieved a deficiency-free recertification survey.
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AHCA recently developed a new falls toolkit, Safe Steps Forward, to support providers in strengthening their fall prevention programs through practical, evidence-informed strategies. This toolkit provides information for various resources designed to help interdisciplinary teams identify risk factors, implement targeted interventions and continuously evaluate outcomes as part of an effective quality assurance and performance improvement approach.
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CMS is reinforcing the federal government’s broader push toward electronic payments by encouraging providers to submit Civil Money Penalty payments electronically through Pay.gov. CMS notes that electronic payment through Pay.gov helps avoid delays in processing and ensures timely receipt and application of payments to the appropriate case file.
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IHCA continues to review the Iowa Administrative Bulletin for potential impacts to long-term care providers. The April 29 and May 13 issues include a newly noticed rule from the Iowa Department of Health and Human Services sharing proposed amendments to the requirements for participation in the Professional Counselors Licensure Compact and a regulatory analysis regarding the Civil Money Penalties quality improvement initiative grants.
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The University of Iowa College of Public Health, Carver College of Medicine and The State Hygienic Lab, in collaboration with the Iowa Department of Health and Human Services, are hosting its final free Candida auris (C. auris) tabletop exercise tomorrow, May 21, in Des Moines. This exercise is designed to strengthen preparedness, enhance coordination and support continuous improvement in response procedures. Although C. auris is the organism of focus, this tabletop provides guidance on handling all multidrug-resistant organisms (MDROs) and preventing interfacility and regional spread.
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The Payroll Based Journal (PBJ) submission deadline for quarter two (Jan. 1, 2026 – March 31, 2026) is this Friday, May 15, at 10:59 p.m. CDT. It is recommended that providers submit well before the deadline. Early submission allows time to identify and correct rejected files, resolve validation errors and resubmit if needed without the pressure of an expiring deadline.
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The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is this coming Monday, May 18. This includes Minimum Data Set assessment data and COVID-19 vaccination coverage for health care personnel (HCP) submitted to CMS via the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN) for Sept. 1 - Dec. 31 (Q4) of calendar year 2025, along with the annual NHSN Influenza Vaccination Among HCP Measure data (for the 2025-2026 season).
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The Payroll Based Journal (PBJ) submission deadline for quarter two (Jan. 1, 2026 – March 31, 2026) is next Friday, May 15, at 10:59 p.m. CDT. It is recommended that providers submit well before the deadline. Early submission allows time to identify and correct rejected files, resolve validation errors and resubmit if needed without the pressure of an expiring deadline.
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The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is May 18. This includes Minimum Data Set assessment data and COVID-19 vaccination coverage for health care personnel (HCP) submitted to CMS via the Centers for Disease Control and Prevention National Healthcare Safety Network for Sept. 1 - Dec. 31 (Q4) of calendar year 2025, along with the annual NHSN Influenza Vaccination Among HCP Measure data (for the 2025-2026 season).
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As a reminder, the Skilled Nursing Facility (SNF) Data Validation Process for the SNF Value-Based Purchasing and Quality Reporting programs is now in effect. Selected SNFs will be notified through their Internet Quality Improvement and Evaluation System (iQIES) Minimum Data Set (MDS) 3.0 Provider Preview Report folder and must submit medical chart documentation for ten MDS assessments within 45 days to avoid a 2% Medicare reimbursement penalty. Facilities are encouraged to begin checking their iQIES folders weekly and seek additional guidance from CMS, if needed.
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On Thursday, April 23, IHCA hosted its monthly Home Care Provider Update Call to discuss the most recent changes and updates for the home health and home care professions. Conversation covered Medicare claims audit updates, legislative outcomes, reimbursement issues, regulatory updates, IHCA Foundation scholarship opportunities and more.
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The April 2026 skilled nursing facility (SNF) survey trend report is now available in the IHCA Member Resource Center and highlights the most frequently cited tags and regulatory outcomes from Iowa SNFs. Sponsored by HPSI Purchasing Services, this member-only resource is a helpful tool for survey readiness and planning, with data largely reflecting surveys completed about two months prior to publication. The report also recognizes an IHCA member facility that achieved a deficiency-free recertification survey.
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The Payroll Based Journal (PBJ) submission deadline for quarter two (Jan. 1, 2026 – March 31, 2026) is May 15, 2026, at 10:59 p.m. CDT. It is recommended that providers submit well before the deadline. Early submission allows time to identify and correct rejected files, resolve validation errors and resubmit if needed without the pressure of an expiring deadline.
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The Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) Long-Term Care Team and Prevention and Therapeutics Unit will hold a training webinar on the Respiratory Pathogens and Vaccination (RPV) Module tomorrow, April 30, at noon. This webinar will review optional reporting of therapeutic medications, updates to the person-level vaccination form for residents and the up-to-date definition for COVID-19 vaccines for quarters one and two of 2026.
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IHCA continues to review the Iowa Administrative Bulletin for potential impacts to long-term care providers. The April 15 issue includes a newly noticed rule from the Iowa Department of Health and Human Services outlining procedures for record check evaluations. These will be used to determine employment eligibility for individuals with certain criminal convictions or founded abuse findings in health care settings and related training programs.
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The Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) Long-Term Care Team and Prevention and Therapeutics Unit will hold a training webinar on the Respiratory Pathogens and Vaccination (RPV) Module next Thursday, April 30, at noon. This webinar will review optional reporting of therapeutic medications, updates to the person-level vaccination form for residents and the up-to-date definition for COVID-19 vaccines for quarters one and two of 2026.
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The Payroll Based Journal (PBJ) submission deadline for quarter two (Jan. 1, 2026 – March 31, 2026) is May 15, 2026, at 10:59 p.m. CDT. It is recommended that providers submit well before the deadline. Early submission allows time to identify and correct rejected files, resolve validation errors and resubmit if needed without the pressure of an expiring deadline.
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CMS released an updated Five-Star Quality Rating Program Technical User’s Guide, effective with the April 2026 refresh. In this update, the long-stay antipsychotic medication quality measure calculation will be updated to ensure that all residents with a history of schizophrenia are excluded, consistent with established specifications.
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All nursing homes are required to report on annual influenza vaccination among health care personnel (HCP) by Monday, May 18, at 11:59 p.m. PST to meet CMS guidelines, as required by the Skilled Nursing Facility Quality Reporting Program for the 2025-2026 influenza season. The reporting period for the 2025-2026 influenza season is Oct. 1, 2025, through March 31, 2026. Facilities are only required to submit one report that covers the entire reporting period. Nursing homes that fail to report the required data by the deadline may lose 2% of their Medicare reimbursement for fiscal year 2027.
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Iowa’s Department of Inspections, Appeals and Licensing (DIAL) recently implemented a process change regarding the issuance of provider licensing certificates. With the new process, digital certificates will be posted in DIAL’s Health Facilities Database in the provider’s entity detail page in the ‘files’ folder. A hard copy will no longer be mailed to the facility/program.
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The April assisted living (AL) survey trend report is now available in the IHCA Member Resource Center. This member-only report highlights the most common regulatory insufficiencies and is intended to help AL programs improve survey quality and prepare for future surveys. Congratulations to the IHCA AL members that recently achieved an insufficiency-free survey.
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Late last week, CMS released an updated QSO-26-03-NH on surveyor guidance. The updated memo primarily clarifies provisions in the State Operations Manual, specifically chapters five and seven, introduced previously in a Jan. 30, 2026, memo. The updates will take effect on April 30, 2026.
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Veterans are highly represented in Iowa’s long-term care settings, yet many eligible residents and spouses miss out on valuable benefits due to complexity and lack of awareness. Free, credible assistance—especially through county veterans service officers and the Iowa Department of Veterans Affairs—can help residents access these earned benefits and improve financial and care outcomes. Understanding where free, credible assistance exists and integrating veterans’ benefit access into routine operations can support Iowa's veterans in receiving the benefits and aid they deserve.
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Registration is still open for the CMS Region Seven Fraud Awareness: Lunch and Learn Series. The first session of this four-part series launches tomorrow, April 9. Each 30-minute webinar features presentations from federal and state partners on a variety of important fraud-related topics.
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As a reminder, the Skilled Nursing Facility (SNF) Data Validation Process for the SNF Value-Based Purchasing (VBP) and Quality Reporting (QRP) programs is now in effect. Selected SNFs will be notified through their iQIES MDS 3.0 Provider Preview Report folder and must submit medical chart documentation for 10 MDS assessments within 45 days to avoid a 2% Medicare reimbursement penalty. Facilities are encouraged to begin checking their iQIES folders weekly and seek additional guidance from CMS, if needed.
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The Centers for Disease Control and Prevention (CDC) recently updated what it means to be “up to date” on COVID-19 vaccinations for both residents and health care staff. This change was first expected to apply only for the first quarter of 2026, but the CDC has now confirmed it will continue for the time being. An updated guidance document is expected to be posted on the National Healthcare Safety Network website in April.
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The March 2026 skilled nursing facility (SNF) survey trend report is now available in the IHCA Member Resource Center and highlights the most frequently cited tags and regulatory outcomes from Iowa SNFs. Sponsored by HPSI Purchasing Services, this member-only resource is a helpful tool for survey readiness and planning, with data largely reflecting surveys completed about two months prior to publication. The report also recognizes IHCA member facilities that achieved deficiency-free recertification surveys.
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The Fee for Service (FFS) Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, has been updated. The updated form is effective now and expires March 2029. Providers may continue to use the expired version of the form until May 12, 2026, but must begin using the approved form no later than that date. This ABN is used in nursing facilities and other provider types to transfer potential financial liability for items/services (such as outpatient therapy) expected to be denied under Medicare Part B only.
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The Department of Inspections, Appeals and Licensing (DIAL) will host its virtual joint training next Tuesday, March 24 from 9:00 a.m. to 1:00 p.m. The session, titled, "Navigating Federal Abuse Regulation Compliance and Survey Trends," will cover federal abuse regulations, reporting and investigation requirements, common survey deficiencies, recent survey trends and practical strategies to ensure resident safety and compliance. Attendance is capped at 500 participants, so providers are encouraged to register in advance and gather staff to participate together.
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IHCA has introduced two new resources to help nursing facilities streamline admissions and improve communication with residents and families: an admission agreement template and a resident handbook template. The admission agreement outlines the rights and responsibilities of both the facility and resident, while the handbook explains facility policies, resident rights and daily life in plain language. Both resources are designed as customizable starting points that facilities can adapt to their specific operations and compliance needs.
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CMS recently updated the Long Stay Antipsychotic measure calculation to include claims data and identified some residents with schizophrenia who should have been excluded from the measure. CMS is correcting the calculation and plans to update the measure’s cut points used in Five-Star ratings. Updated data will appear in the April 22 Five-Star Provider Preview Reports in iQIES and on Care Compare beginning April 29.
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The Department of Inspections, Appeals and Licensing (DIAL) will host its virtual joint training on March 24 from 9:00 a.m. to 1:00 p.m. The session, titled, "Navigating Federal Abuse Regulation Compliance and Survey Trends," will cover federal abuse regulations, reporting and investigation requirements, common survey deficiencies, recent survey trends and practical strategies to ensure resident safety and compliance. Attendance is capped at 500 participants, so providers are encouraged to register in advance and gather staff to participate together.
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The Department of Inspections, Appeals and Licensing (DIAL) will host its virtual joint training on March 24 from 9:00 a.m. to 1:00 p.m. The session, titled, "Navigating Federal Abuse Regulation Compliance and Survey Trends," will cover federal abuse regulations, reporting and investigation requirements, common survey deficiencies, recent survey trends and practical strategies to ensure resident safety and compliance. Attendance is capped at 500 participants, and providers are encouraged to register in advance and gather staff to participate together.
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All skilled nursing facilities, assisted living communities and ID/DD centers must comply with OSHA’s Respiratory Protection Standard, which requires a formal respiratory protection program for employees exposed to airborne hazards. To help providers meet these requirements and reduce compliance risk, AHCA/NCAL and MCA Consulting have developed a comprehensive Respiratory Protection Plan training and toolkit that includes templates, required forms, fit testing guidance and employee training. AHCA/NCAL members can access this all-in-one compliance resource through a deeply discounted three-year subscription.
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As a reminder, the Skilled Nursing Facility (SNF) Data Validation Process for the SNF Value-Based Purchasing (VBP) and Quality Reporting (QRP) programs is now in effect. Selected SNFs will be notified through their iQIES MDS 3.0 Provider Preview Report folder and must submit medical chart documentation for 10 MDS assessments within 45 days to avoid a 2% Medicare reimbursement penalty. Facilities are encouraged to begin checking their iQIES folders weekly and seek additional guidance from CMS, if needed.
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The Iowa Department of Inspections, Appeals and Licensing (DIAL) has announced final rule changes to Iowa Administrative Code Chapters 481-67 and 481-69, effective March 11, 2026. The updates revise the scope of practice for LPNs, allowing them to complete initial and change-in-condition assessments by delegation from a Registered Nurse, and require programs to specify in policy who is responsible for completing initial incident reports. Repetitive requirements from Iowa Code 231C were removed from the administrative rules, and providers are advised to reference the Code directly for related regulatory guidance.
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Leaders of Iowa assisted living (AL) programs are responsible for balancing tenant safety with tenant rights, particularly during involuntary discharges, which are closely regulated and often contested. Iowa law sets detailed requirements for both emergency and 30-day involuntary discharges, including specific notice formatting. IHCA provides up-to-date, customizable templates to ensure compliance and AL leaders are encouraged to use IHCA’s resources and guidance to avoid outdated templates and regulatory issues.
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Home health agencies are evaluated on their ability to prevent hospitalizations during care and for 31 days after discharge through the Potentially Preventable Hospitalization (PPH) and Discharge to Community Post-Acute Care measures. Agencies can improve performance by strengthening case management, enhancing patient and caregiver education, promoting timely communication, optimizing medication management and incorporating strategic touch points, including post-discharge follow-up. Provider Insights has provided a script for post-discharge check-in calls to assist in identifying risks after discharge.
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Skilled nursing facilities, assisted living communities and ID/DD centers must maintain a respiratory protection program to comply with OSHA and CMS requirements, ensuring employee and resident safety from airborne hazards. AHCA/NCAL and MCA Consulting are offering a comprehensive Respiratory Protection Plan toolkit and training, including customizable templates, forms and videos to help providers achieve compliance. The resource is being offered via a discounted three-year subscription, giving facilities everything needed to meet federal respiratory protection and emergency preparedness standards.
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Discharge decisions in Iowa nursing facilities must comply with both federal CMS regulations and state requirements under Iowa Administrative Code, which includes specific notice, appeal and formatting standards. IHCA provides up-to-date, customizable discharge notice templates and regulatory guidance to help members avoid delays and enforcement actions. Members also have access to legal counsel and are encouraged to use the latest templates, as state officials have reported a trend of outdated form submissions.
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On February 4, 2026, CMS updated its Survey Resource folder, including revisions to several Critical Element Pathways (CEPs). Notably, CEP CMS-20081 for Respiratory Care was clarified to differentiate no smoking sign requirements for smoking versus non-smoking facilities. Nursing homes are advised to review and update their policies and staff education to comply with the revised guidance.
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The CDC has launched its Sepsis Prevention Assessment Tool (SPAT) for Nursing Homes to help providers address the high risk of sepsis among residents by strengthening infection prevention and early recognition practices. The tool guides facilities in assessing policies, staff training and clinical workflows to identify gaps and prioritize improvements. Additional resources are included to support implementation and help nursing homes improve compliance, care quality and resident outcomes.
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CMS issued a comprehensive memo revising chapters 5 and 7 of the State Operations Manual, outlining updates to survey and enforcement processes that AHCA is currently reviewing. Initial highlights include improved timelines and transparency for Informal Dispute Resolutions and expanded use of offsite desk reviews for less serious deficiencies. While these changes offer some operational relief, concerns remain about the inclusion of expanded Civil Monetary Penalty enforcement, which AHCA plans to continue addressing through advocacy for solutions and new rulemaking.
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IHCA is monitoring the Jan. 21 and Feb. 4 Iowa Administrative Bulletin for items that may impact members, with several adopted rule updates from the Department of Inspections and Appeals tied to the state’s Red Tape Review (Executive Order 10). The updates include repromulgated chapters and new standards for health care facility audits, elder group homes, assisted living programs and adult day services, specifically addressing certification processes, incident investigations and medication handling.
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