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 Documents & Resources

 
 

 Contact AHCA

 

Lilly Hummel
(202) 898-2845
lhummel@ncal.org

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Compliance Programs

Background

As part of the Requirements of Participation (RoP) published October 2016, nursing centers must have a Compliance and Ethics Program that meets certain requirements. Starting November 28, 2019, CMS and state survey agencies will be authorized to issue survey deficiencies under federal Ftag F895 to facilities that do not have an effective Compliance Program.

CMS has not yet issued guidance about how F895 will be interpreted, but AHCA encourages nursing centers to review the requirements at 42 CFR § 483.85 and begin making changes to comply. 


AHCA Provider Member Resources

  • Webinar and tools in ahcancalED: AHCA has a webinar series and resources to support members in developing or adapting their existing program to meet this requirement.
  • Designing and Implementing a Corporate Compliance Manual (2013) – provides in depth background on creating a Compliance Program including checklists and sample language. This Manual is based on the OIG’s guidance from 2000 and 2008 (linked on the side bar) and was developed prior to the issuance of the RoPs in 2016. The Compliance and Ethics requirements in the RoPs were informed by the earlier OIG guidance; however, nursing centers should adapt as needed to ensure compliance with current federal and state requirements.
  • Sample Policies and Procedures for Risk Management (2013) The Sample Policies and Procedures were developed prior to the final Requirements of Participation. Nursing centers should adapt as needed to ensure compliance with current federal and state requirements.
Disclaimers

The Compliance Manual and Sample Policies and Procedures were developed prior to the final Requirements of Participation. Nursing centers should adapt as needed to ensure compliance with current federal and state requirements.

AHCA resources are not intended as legal advice and should not be used as or relied upon as legal advice. It is for general informational purposes only and should not substitute for legal advice. Always seek knowledgeable counsel for advice that is tailored to the actual facts and circumstances and takes into account all relevant law and regulation.

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