Federal regulators have drafted rules that could help shape the careers of the next generation of personal long-term care (LTC) coordinators.
The Centers for Medicare & Medicaid Services (CMS) have included standards for LTC facility resident “personal representatives” in a new batch of proposed LTC facility regulations.
The proposed rules would have a direct effect only on nursing homes and other LTC facilities receiving cash from Medicare and Medicaid. They could have an indirect effect on private insurers’ standards for LTC facilities, and on consumers who are using a combination of public program benefits and private long-term care insurance (LTCI) or other private insurance coverage to pay for LTC facility care.
CMS, an arm of the U.S. Department of Health and Human Services (CMS), has based many of the regulation changes and additions in the proposed regulations on LTC provisions in the Patient Protection and Affordable Care Act of 2010 (PPACA) and a sister law, the Health Care and Education Reconciliation Act of 2010 (HCERA).
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CMS officials write in a preamble to the proposed regulations that CMS has not updated LTC facility regulations in a comprehensive way since 1991.
In the new proposed regulations, CMS describes the rights of LTC facility residents to “person-centered care,” and the responsibilities of LTC facilities to do as much as possibility to, for example, respond to residents’ concerns about matters such as food, roommates and medications.