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HHS/CMS RIN: 0938-AQ10 Publication ID: Spring 2011 
Title: Long-Term Care Facility Quality Assessment and Performance Improvement Dementia Management and Abuse Prevention Training (CMS-3231-P) 
Abstract: This proposed rule would implement section 6102 of the Affordable Care Act by amending the requirements that an institution must meet to participate as a skilled nursing facility (SNF) in the Medicare program, or a nursing facility (NF) in the Medicaid program. This proposed rule would require these long term care (LTC) facilities to develop, implement, and maintain a quality assessment and performance improvement (QAPI) program. In addition, this proposed rule would also amend the requirements that an institution must meet in order to qualify to participate as a SNF in the Medicare program, or as a NF in the Medicaid program, by requiring the current mandatory on-going training requirements for nurse aides (NA) to include dementia management and resident abuse training. This proposed rule would also clarify that the definition of NA includes an individual who provides services through an agency or under contract with a SNF or NF. Finally, this proposed rule would address section 6121 of the Affordable Care Act which requires facilities to include dementia management and abuse prevention training as part of pre-employment initial training for permanent and contract or agency staff, and if the Secretary determines appropriate, as part of ongoing in-service training. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 483   
Legal Authority: PL 111-148, secs 6102    6121    42 USC 1320a-7j   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  To Be Determined    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Kadie Thomas
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Clinical Standards and Quality, Mail Stop S3-02-01, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0468
Email: kadie.thomas@cms.hhs.gov

Diane Corning
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Clinical Standards and Quality, MS: S3-02-01, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8486
Email: diane.corning@cms.hhs.gov