CMS Grants Exceptions For Renal Dialysis Facilities Affected By Irma
We have heard many accounts of community heroism and collaboration during this very active Atlantic Basin hurricane season. Sadly, there were also reports of Special Needs Shelters turning away dialysis patients because they were “not needy enough” – an obvious disconnect. As we approach the end of the 2017 hurricane season, we will be collecting and sharing stories of our community successes and opportunities for improvement. Please review the information below regarding QIP Reporting requirements for Providers affected by Hurricane Irma, as previously shared by FRAA Partner, National Renal Administrators Association (NRAA).
Hoping to see many of you at the NRAA Annual Conference in Austin, TX from October 18th – October 21st, 2017. Visit the NRAA Annual Conference Webpage at: http://www.nraa.org/education/meetings-home/annual-conference to learn more and to register.
Applicability of Reporting Requirements for Providers Affected by Hurricane Irma
|End-Stage Renal Disease Quality Incentive Program|
The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to acute care hospitals, PPS- exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, renal dialysis facilities, long-term care hospitals, and ambulatory surgical centers located in areas affected by Hurricane Irma due to the devastating impact of the storm. These providers will be granted exceptions without having to submit an Extraordinary Circumstances Exceptions (ECE) request if they are located in one of the Florida counties, Georgia counties, Puerto Rico municipios, or U.S. Virgin Islands county- equivalents listed below, all of which have been designated by the Federal Emergency Management Agency (FEMA) as a major disaster county, municipio, or county-equivalent. The scope and duration of the exception under each Medicare quality reporting program is described below; however, all of the exceptions are being granted to assist these providers while they direct their resources toward caring for their patients and repairing structural damages to facilities.
CMS is closely monitoring the situation for future potential widespread catastrophic events, and will update exception lists soon after any events occur in the future.
The affected counties, municipios, and county-equivalents designated by FEMA as of the date of this communication are as follows:
- Florida Counties: All 67 counties in Florida are within the FEMA designated areas.
- Georgia Counties: All 159 counties in Georgia are within the FEMA designated areas.
- Puerto Rico Municipios: Adjuntas, Aguas Buenas, Barranquitas, Camuy, Canovanas. Carolina, Catano, Ciales, Culebra, Guaynabo, Jayuya, Juncos, Las Piedras, Loiza, Luquillo, Orocovis, Patillas, Quebradillas, San Juan, Utuado, Vega Baja, Vieques.
- U.S. Virgin Islands County-Equivalents: St. Croix (Island) (County- equivalent), St. John (Island) (County- equivalent), St. Thomas (Island) (County- equivalent), Statewide
The following providers located outside of the counties, municipios, and county-equivalents listed above are not covered by this communication, but may request an exception to the reporting requirements under one or more Medicare quality reporting or value-based purchasing programs using the applicable extraordinary circumstances exception procedure: acute care hospitals, Prospective Payment System (PPS)-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, renal dialysis facilities, and ambulatory surgical centers. If FEMA expands the current disaster declaration for Hurricane Irma to include additional counties, municipios, and/or county-equivalents, CMS will update this communication to expand the list of providers eligible to receive an exception without submitting a request to include the hospitals, PPS-exempt cancer hospitals, inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient rehabilitation facilities, long-term care hospitals, and ambulatory surgical centers located in the additional counties, municipios, and/or county- equivalents. In addition, CMS will continue to monitor the situation and adjust exempted reporting periods and submission deadlines accordingly.
End-Stage Renal Disease Quality Incentive Program
Renal dialysis facilities located in the above designated counties, municipals, and county- equivalents that were closed will be exempt from all reporting requirements of the End-Stage Renal Disease Quality Incentive Program (ESRD QIP)clinical and reporting measures from September 2017 through December 2017. Facilities that desire an exemption beyond December 2017 may submit an ECE request via the established process.
For ESRD QIP clinical and reporting measures, facilities will be exempt as shown in the following table:
Exempt Clinical Month, Reporting Deadline:
- July 2017, September 30, 2017
- August 2017, October 31, 2017
- September 2017, November 30, 2017
- October 2017, December 31, 2017
- November 2017, January 31, 2018
- December 2017, February 28, 2018
For the NHSN Measure topic, facilities will not be scored for Payment Year (PY) 2019 since facilities will be unable to submit 12 months of data in NHSN in order to receive the maximum number of points on this measure topic.
Closed facilities covered under this waiver will not be required to participate in the CROWNWeb or NHSN validation studies for PY 2019. Facilities in other counties, municipals, county-equivalents, states, and territories that may have been impacted by Hurricane Irma may submit ECE requests based on individual circumstances with all required documentation completed. Please refer to the ECE request process and form located on QualityNet for additional information. The form must be signed by the Renal Dialysis Facility’s chief executive officer (CEO) or designee, and submitted via email to the ESRD QIP Mailbox at firstname.lastname@example.org. This form must be submitted within 90 days of the extraordinary circumstances event
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