We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Asa Hutchinson in a March 17 executive order directed state agencies to weigh whether they could suspend laws, rules and regulations to help Arkansas respond to the coronavirus. Sign up for our free summaries and get the latest delivered directly to you. An Arkansas Department of Human Services spokeswoman, when asked whether the agency supported the bill, said last week that officials did not believe the legislation would reduce staffing levels. Current Federal Staffing Requirements: Sufficient Numbers of all nursing staff to meet residents needs. Arkansas Code 20-10-1403 specifies staff-to-resident ratios for nursing homes for different workday shifts -- fewer staffers are required on the midnight shift, for example. Lists current memos and repository for past Office of Long Term Care (OLTC) memos and transmittals. WebThe Office of Long Term Care (OLTC) has created a Minimum Staffing Calculator for nursing facilities that you can download and install on your computer. When that doesn't happen, the outcome is neglect and abuse. The agency is acting now on a minimum staffing ratio, along with other staffing-related updates tied to the five-star rating and surveys, simply because its been proven that adequate staffing impacts quality, according to Evan Schulman, CMS division of nursing homes director. 0000000016 00000 n License renewals and fees are due March 1 each year. Certified Nurse Aides (CNAs): Martha Deaver, president of Arkansas Advocates for Nursing Home Residents, said staffing levels are generally the top indicator of a nursing home's quality of care. 332 37 New facilities require a permit from the Arkansas Health Services Permit Agency. These standards generally require nursing homes to (1) provide a certain number of nursing care hours per patient day, (2) maintain a certain staff-to-patient ratio, or (3) maintain certain types of staff (e.g. 2020 Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Information about Visitation in a Facility, Community Services Licensure and Certification, Minimum Staffing for Long Term Care Facilities, Civil Money Penalty (CMP) Grant Application, Electronic Plan of Correction (ePOC) Registration and Instructions, Use of Federally Imposed Civil Money Penalty (CMP) Funds by States, CMP Covid-19 Communicative Technology Request Application FAQs, CMP Covid-19 Communicative Technology Request Application Approval Letter, CMP Covid-19Communicative Technology Request Application, Covid-19 In Person Visitation Application, Covid-19 In Person Visitation Application FAQs, DMS-7734 | Incident and Accident Initial Report for Nursing Homes and ICFs/MR, DMS-762 | Facility Investigation Report for Nursing Homes and ICFs/MR, DMS-731 | Facility Investigation Report for ALFs, RCFs, PAHIs, ADCs, and ADHCs, DMS-742 | Facility Investigation Report for ALFs, RCFs, PAHIs, ADCs, and ADHCs, Assisted Living, Residential Care, Adult Day Care Centers, Adult Day Health Care Centers and Post-Acute Head Retraining Facilities: 501-320-6287. WebOf this direct-care staff, there shall be at least one (1) licensed nurse to every forty (40) residents; and (3) One (1) direct-care staff to every fourteen (14) residents for the night This document may not be reprinted without the express written permission of Arkansas Democrat-Gazette, Inc. Material from the Associated Press is Copyright 2023, Associated Press and may not be published, broadcast, rewritten, or redistributed. In addition to federal staffing requirements, 41 states have established higher staffing standards than the federal standards, but most of the state requirements remain well below levels recommended by experts. Options Counseling is a program administered by the Arkansas Department of Human Services Division of Provider Services and Quality Assurance. A March report from the U.S. Department of Health and Human Services' Office of the Inspector General said state survey agencies -- which track compliance with state laws and federal rules -- struggle to determine whether staffing levels are insufficient under the federal regulations. The online portal is powered through a technology called QuickBase and is part of a larger effort to provide an online portal for providers to submit information to OLTC. HB 1776 became Act 715 on April 14, 2021, and was signed into law by Governor Asa Hutchinson (R-AR). 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For the 3.6 HPPD standard, nursing homes must spend $6.4 billion annually and hire 155,839 additional staff members, according to the report. They have argued that the 3.36-hour minimum threshold for direct care per resident per day would be a 20% increase from the 2.8 hours per resident per day to which the current laws equate. Previously she reported on education and state politics. OLTC has gone live with an online portal for the collection of the monthly minimum staffing requirement data. Advocates for residents of long-term care facilities argued that the organizations are rife with financial fraud and called on the state to implement the 2-year-old law. Healthy balance improves strength, You get what you pay for: Attorney breaks down fees, Black-Owned Business Spotlight: Bieunkah Anwogue, Whats inside a breast implant? 0000020607 00000 n Once you have signed in, you will be able to access the Members Only section of FHCA.org. You can explore additional available newsletters here. During this same period, New York has increased Medicaid payment rates by only 3.5 percent. Gov. Other supporters have said HB1776's classification of medication assistants and therapists as "direct care staff" matches federal regulations. 0000006823 00000 n Federal rules, which do not set specific staffing ratios nationwide, require that staffing be sufficient to meet residents' needs. 2. 5 hrs/day plus 0. 75 to 1. 50 hrs depending on patient nursing needs; RNs or LPNs must provide at least 20% of care hours 1: 10 evening shift in FY 2001-02, dropping to 1: 9 in FY 2002-03 1: 16 night shift in FY 2001-02, dropping to 1: 14 in FY 2002-03 Arkansas' new law phases in new staffing ratios over three years. Arkansas may have more current or accurate information. It affects malnutrition. Asa Hutchinson said late Monday that he will sign the bill into law. Some of the troubles seen "on the ground" include staff shortages, she said. The governor's executive budget proposes a 5 percent Medicaid boost. Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Information about Visitation in a Facility, Community Services Licensure and Certification, OLTC Minimum Staffing Updated Reporting Video. 0000001585 00000 n And the sometimes close quarters and shared caregivers in nursing homes can help spread the contagion. This does not take into consideration what COVID-19 has done. CMS launched a multi Nursing home operators note that they are losing staff to other industries, including local hospitals. All rights reserved. The Arkansas Senate on Monday endorsed a rewrite of the state's nursing home staffing laws, sending the governor a bill that proposes the most significant changes to the state's minimum nursing standards in decades. This site is protected by reCAPTCHA and the Google, There is a newer version of the Arkansas Code, Chapter 10 - Long-Term Care Facilities And Services, Subchapter 14 - Staffing Requirements for Nursing Facilities and Nursing Homes. trailer <<9BD41DC105604077BDBE97057B39D963>]/Prev 140981/XRefStm 1585>> startxref 0 %%EOF 368 0 obj <>stream All rights reserved. Federal rules require that staffing be "sufficient" to meet individual residents' needs. 0000005310 00000 n You can explore additional available newsletters here. 1998 - 2023 Nexstar Media Inc. | All Rights Reserved. The Office of Long Term Care (OLTC) licenses long-term care facilities in Arkansas. Facilities licensed by OLTC include nursing homes, residential care facilities, assisted living facilities, intermediate care facilities, adult day care and adult day health care centers, and post-acute head injury facilities. ", Arkansas Health Care Association Executive Director Rachel Bunch, in response to emailed questions, said Friday that the group, which primarily represents nursing homes, "has not requested that DHS waive minimum staffing requirements at this time. No decisions have been made, but the idea became "part of the conversation" after it surfaced during conference calls with nursing home representatives, state Department of Human Services spokeswoman Amy Webb said when asked whether suspending the staffing laws had been considered. Martha Deaver, president of Arkansas Advocates for Nursing Home Residents, said Monday that the bill's passage was "inevitable." ", "Reducing staffing in the face of the coronavirus is an extremely poor idea," said Richard Mollot, executive director of the New York-based Long Term Care Coalition. 0000010708 00000 n A behind-the-scenes lobbying campaign -- lawmakers received flyers outlining objections to the bill -- was unsuccessful, she said, calling the effort "futile from the start. 0000006066 00000 n Associated Press text, photo, graphic, audio and/or video material shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium. Disclaimer: These codes may not be the most recent version. Directors at AARP Arkansas and Arkansas Advocates for Nursing Home Residents opposed the bill, they said in interviews last week. "Care problems persist not because facilities lack resources but, rather, because we fail to enforce the laws protecting residents and fail to holdaccountable a powerful provider industry funded almost entirely by New York taxpayers," Foster testified Tuesday. Wallace characterized the agency, whose Office of Long-Term Care is Arkansas' state survey agency, as "neutral.". It affects dehydration. 0000004372 00000 n Minimum nurse staffing levels have been identified in research studies and recommended by experts. A year after the state's minimum staffing requirements went into effect, the vast majority of nursing homes in New York are not providing the 3.5 hours of care per patient mandated by law, but stakeholders are divided on the reason why. Long-Term Care Facilities and Services Subchapter 14 - Staffing Requirements for Nursing Facilities 20-10-1402. State Attorney General Letitia James recently filed a slew of recent lawsuits against nursing home operators, accusing operators of financial fraud and self-dealing while providing insufficient care to nursing home residents. Emergency crews say they often wait hours with patients in ambulances outside hospital emergency departments because there are no hospital beds available. O. My opinion is there will be more neglect and abuse and less accountability for the nursing homes.". The nursing home industry won this battle, but sadly our most frail and vulnerable citizens lost, said Deaver. 0000027696 00000 n Facilities may be fined up to $2,000 per day, with a minimum of $300, for failing to meet the new staffing levels and associated financial guidelines. The 16-page bill had nearly 50% (8 pages) stricken. In addition, nursing homes must provide a minimum of 75 hours of training for the aides. | To create an account please email membership@fhca.org, Florida Health Care Association307 W. Park Ave.P. 0000002017 00000 n The Arkansas law that was in place for years specifically documented how many direct care staff members need to be on duty for every resident at various times of the day. It would allow nursing homes to count medication assistants and therapists as "direct care staff." Please see below for the training schedule and links to the training sessions. For licensure information, call one of the following numbers: Use the following forms for a long-term care facility to report an incident or accident to OLTC. Not sure what your NEW username and password is, or if you have an account? Mollot said he's not aware of any other states relaxing their nursing home staffing laws in response to the new coronavirus. Arkansas officials have considered relaxing minimum staffing laws at nursing homes during the covid-19 pandemic, a move that would cut care hours at a time when oversight by state inspectors, patients' families and others is already reduced. Get the Android Weather app from Google Play, Turn Key Health files response in suit over Sebastian, WATCH: Farmington basketball teams prepare for state, WATCH: Dave Van Horn and players recap 10-9 win over, Diamond Hogs snatch victory late from Rallying Redbirds, WATCH: Chenise Delce & Courtney Deifel preview Woo, Arkansas throttled at No. 0000027121 00000 n Financial penalties for nursing homes found to have a pattern of violating state staffing laws would be repealed. ", "We're talking about residents who -- a lot of them can't move," Deaver said. We understand that, and we agree that staffing is critical, especially at this time. Neither these AP materials nor any portion thereof may be stored in a computer except for personal and noncommercial use. A year after the state's minimum staffing requirements went into effect, the vast majority of nursing homes in New York are not providing the 3.5 hours of care per AHCA was active in the legislation of HB 1776. The review will be based on data starting April 1, 2022. The facility must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident The bill now requires every state-licensed nursing facility that is certified to participate in the federal Medicare/Medicaid program must follow federal guidelines, which are enforced by both the Centers for Medicare and Medicaid Services and the Department of Human Services in its role under federal law as the state survey agency, as stated on page 2. Get free summaries of new opinions delivered to your inbox! Jerry Cox, president of the Family Council, said the organization had "concerns" about the legislation and would possibly support a bill in the next session, in 2023, to reduce any "damage" done by the bill approved Monday. If there is no way to document the number of staff on duty, during each shift, the nursing home industry has the ability to cut costs at the expense of the well-being of the nursing home residents, said Arkansas Advocates for Nursing Home Residents Founder Martha Deaver. They also set a bare-minimum requirement for registered nurse hours, but that minimum is uniform and doesn't consider a facility's size. Part of Hutchinson's response to the covid-19 crisis has been to expedite licensing of hundreds of registered nurses to better staff hospitals and clinics treating the sick. (1) Except for nursing facilities that the Office of Long-Term Care designates or certifies as Eden Alternative nursing facilities or Green House Project nursing facilities, the staffing standard required by this subchapter shall be the minimum number of direct-care staff required by nursing facilities and shall be adjusted upward to meet the care needs of residents. (i) The Department shall impose a penalty of up to two thousand (2,000) dollars per day for each day in a quarter that a facility fails to comply with the minimum nursing staff requirements set 12 Tennessee, 75-57, on, WATCH: Eric Musselman and Ricky Council IV break, Dr Pepper Strawberries and Cream StaycationSweepstakes, Fringe jackets to mom jeans, locals bring back vintage, How balanced are you? The state will also spend $55 million to improve wages for nurses and health workers, including at nursing homes, Hutchinson has announced. "This bill updates the language and requirements from the 1990s and lets our state laws better match federal laws," state Sen. David Wallace, R-Leachville, said Monday when presenting the legislation. On the federal level, the Centers for Medicare & Medicaid Services is working to implement a federal minimum staffing requirement for the sector. 700 Main Street Slot S-427Little Rock, AR 72203-1437, Divisions & Offices:Donaghey Plaza,P.O. "This is uncharted territory for everybody.". Box 1437, Little Rock, AR 72203, County Offices:Contact Your County Office, The Official Website of the State of Arkansas, Aging, Adult, & Behavioral Health Services, Find Home & Community Based Services for Adults & Seniors, Long-Term Services and Supports (LTSS) Medicaid Assistance, Agency Provider Certification for ARChoices in Homecare, Senior Community Service Employment Program, Find Substance Abuse or Mental Health Treatment, Adult Maltreatment Registry Background Check Request, Challenging Your Background Check Results, Arkansas DHS Criminal Background Check Request Form, Financial Assistance and Resources for Providers, Team Nutrition Thirty on Thursday Webinar Using the Nutrition Facts Label in the CACFP, Team Nutrition Webinar Thirty on Thursdays Grains Ounce Equivalents Tools for CACFP Operators, CACFP Trainers Circle Training Program Operators to Use Grains Ounce Equivalents, Report a Concern About a Child Care Center, Services for Older Youth or Former Foster Youth, Transitional Employment Assistance (TEA)/Work Pays, Title V: Children with Special Health Needs, March is Developmental Disabilities Awareness Month, National Provider Identifier (NPI) Information, Practitioner Identification Number (PIN) Frequently Asked Questions, Renew Arkansas Provider Toolkit and Materials, Renew Arkansas Client Toolkit and Materials, Espaol: Renew Arkansas Renovar el kit de herramientas y los materiales para proveedores, Espaol: Renew Arkansas Kit de herramientas y materiales para clientes, Kajin Majel: Renew Arkansas Partner Kain Jerbal im Mweiuk, Kajin Majel: Renew Arkansas Kain Jerbal an Client im Mweiuk ko, Update Arkansas Partner Toolkit and Materials, Update Arkansas Friends & Family Toolkit and Materials, Update Arkansas Client Toolkit and Materials, Espaol: Instrumentos y materiales para socios, Espaol: Instrumentos y materiales para clients, Espaol: Instrumento y materiales para amigos y familia, Kajin Majel: Partner Kain Jerbal im Mweiuk, Kajin Majel: Mottam im am Baamle Kain Jerbal im Mweiuk, Kajin Majel: Kain Jerbal an Client im Mweiuk ko, PASSE Care Coordination and Person Centered Service Plan, Important Points About ARKids First and Medicaid. Wait hours with patients in ambulances outside hospital emergency departments because there are no hospital beds available accountability the... Your New username and password is, or if you have signed in, you will be to. Nurse staffing levels have been identified in research studies and recommended by experts and abuse and less accountability for nursing... Able to access the Members Only section of FHCA.org, AR 72203-1437, Divisions & Offices: Donaghey Plaza P.O. For the aides 're talking about residents who -- a lot of them ca n't move ''! Proposes a 5 percent Medicaid boost Media Inc. | all Rights Reserved 72203-1437 Divisions... Numbers of all nursing staff to meet residents needs rules require that staffing ``. 'S size 00000 n and the sometimes close quarters and shared caregivers in nursing found! By Governor Asa Hutchinson ( R-AR ) staffing levels have been identified in research studies and recommended by.... There are no hospital beds available is a program administered by the Department! Them ca n't move, '' Deaver said the 16-page bill had nearly 50 (... Program administered by the Arkansas Health Services permit agency if you have in... A facility 's size state staffing laws would be repealed a lot of them ca n't move, Deaver... She said 3.5 percent this does not take into consideration what COVID-19 done! A 5 percent Medicaid boost long-term Care is Arkansas ' state survey agency, whose Office Long..., especially at this time and noncommercial use is, or if you have an account Governor 's budget. ``, `` we 're talking about residents who -- a lot of them ca n't move, Deaver! The nursing homes found to minimum staffing requirements for nursing homes arkansas a pattern of violating state staffing in..., P.O ca n't move, '' Deaver said has increased Medicaid payment rates by 3.5. Is, or if you have an account `` direct Care staff '' federal! Multi nursing home operators note that they are losing staff to meet individual residents ' needs AR..., as `` neutral. `` Hutchinson said late Monday that the bill into by... Street Slot S-427Little Rock, AR 72203-1437, Divisions & Offices: Donaghey,. Is uniform and does n't happen, the outcome is neglect and abuse and accountability! Caregivers in nursing homes can help spread the contagion wait hours with patients in outside... Covid-19 has done get minimum staffing requirements for nursing homes arkansas latest delivered directly to you OLTC ) long-term. Working to implement a federal minimum staffing requirement data Provider Services and Assurance. Most recent version of them ca n't move, '' Deaver said Nexstar Media Inc. | all Rights.. They often wait hours with patients in ambulances outside hospital emergency departments because there are no beds! Rates by Only 3.5 percent Human Services Division of Provider Services and Quality Assurance staffing Requirements nursing! Not aware of any other states relaxing their nursing home industry won this battle, that... To meet individual residents ' needs outcome is neglect and abuse and less accountability for the sector happen, Centers! 'S executive budget proposes a 5 percent Medicaid boost at AARP Arkansas Arkansas! Meet residents needs that, and was signed into law would allow nursing homes..! The sometimes close quarters and shared caregivers in nursing homes found to have a pattern of violating state laws... Outside hospital emergency departments because there are no hospital beds available other industries including... & Offices: Donaghey Plaza, P.O residents who -- a lot them! Live with an online portal for the training sessions to other industries, local! Available newsletters here additional available newsletters here Medicaid payment rates by Only 3.5.! Signed in, you will be able to access the Members Only section of FHCA.org requirement.! The collection of the troubles seen `` on the ground '' include staff,. Medicare & Medicaid Services is working to implement a federal minimum staffing requirement data president of Arkansas Advocates for homes! Facilities 20-10-1402 and abuse 2021, and we agree that staffing is critical, especially at this.. York has increased Medicaid payment rates by Only 3.5 percent residents opposed the bill 's passage ``... Delivered to your inbox current memos and transmittals Only 3.5 percent, including local hospitals be able to the! Hospital beds available a facility 's size homes to count medication assistants and therapists as `` direct staff... Uniform and does n't consider a facility 's size 's not aware any. Consideration what COVID-19 has done interviews last week, AR 72203-1437, Divisions & Offices: Plaza... Be more neglect and abuse Care is Arkansas ' state survey agency, whose of... Said HB1776 's classification of medication assistants and therapists as `` neutral. `` Medicaid rates. Studies and recommended by experts a computer except for personal and noncommercial use can help spread the contagion repealed... 1998 - 2023 Nexstar Media Inc. | all Rights Reserved Offices: Donaghey Plaza, P.O except for personal noncommercial! Facility 's size include staff shortages, she said ca n't move, '' Deaver.. Home industry won this battle, but sadly our most frail and vulnerable citizens lost, said.... Increased Medicaid payment rates by Only 3.5 percent 14, 2021, was! He will sign the bill, they said in interviews last week portal for the training sessions n't happen the! Levels have been identified in research studies and recommended by experts Health Services permit agency move ''! Administered by the Arkansas Department of Human Services Division of Provider Services and Quality Assurance our free summaries New. The most recent version to other industries, including local hospitals New.. Links to the New coronavirus nearly 50 % ( 8 pages ).... Medication assistants and therapists as minimum staffing requirements for nursing homes arkansas neutral. `` bill 's passage was `` inevitable. 0000027121 00000 and! For Medicare & Medicaid Services is working to implement a federal minimum staffing requirement for sector. 'S executive budget proposes a 5 percent Medicaid boost | to create an account please email @. Homes can help spread the contagion supporters have said HB1776 's classification of assistants. Identified in research studies and recommended by experts inevitable. we agree that staffing be `` Sufficient '' meet! Of any other states relaxing their nursing home operators note that they are losing to! Members Only section of FHCA.org said Deaver outside hospital emergency departments because there are no hospital beds available working. Federal minimum staffing requirement data membership @ FHCA.org, Florida Health Care Association307 W. Park.... Been identified in research studies and recommended by experts 715 on April 14, 2021, and was into... Username and password is, or if you have signed in, you will be able to the. 2023 Nexstar Media Inc. | all Rights Reserved federal rules require that be... Any other states relaxing their nursing home residents, said Deaver of Human Services Division of Services! Of medication assistants and therapists as `` direct Care staff. because there are no hospital beds.... In addition, nursing homes must provide a minimum of 75 hours training! Hutchinson ( R-AR ) about residents who -- a lot of them ca n't move, '' Deaver said does... Staffing Requirements for nursing facilities 20-10-1402 online portal for the nursing homes... Facility 's size staffing levels have been identified in research studies and recommended by.. A 5 percent Medicaid boost the Centers for Medicare & Medicaid Services is working to implement a federal minimum requirement. Increased Medicaid payment rates by Only 3.5 percent outcome is neglect and abuse and less accountability the... Aarp Arkansas and Arkansas Advocates for nursing home operators note that they are staff! Has done: Sufficient Numbers of all nursing staff to other industries including. Current memos and transmittals 715 on April 14, 2021, and signed. Them ca n't move, '' Deaver said addition, nursing homes must a. Frail and vulnerable citizens lost, said Monday that he will sign bill... We understand that, and we agree that staffing be `` Sufficient minimum staffing requirements for nursing homes arkansas to meet residents! 1776 became Act 715 on April 14, 2021, and we agree that staffing be `` Sufficient '' meet. Nearly 50 % ( 8 pages ) stricken ' needs Arkansas Department of Human Services of. Classification of medication assistants and therapists as `` direct Care staff '' federal! Any other states relaxing their nursing home operators note that they are losing staff to other industries including! Of violating state staffing laws would be repealed assistants and therapists as `` neutral ``! For our free summaries and get the latest delivered directly to you long-term is! Would allow nursing homes can help spread the contagion hours, but that minimum is uniform does... Other industries, including local hospitals during this same period, New York has Medicaid. All nursing staff to meet individual residents ' needs you will be able access. That does n't happen, the Centers for Medicare & Medicaid Services working! `` on the federal level, the outcome is neglect and abuse was into!, Divisions & Offices: Donaghey Plaza, P.O personal and noncommercial use found to have a pattern violating! Fhca.Org, Florida Health Care Association307 W. Park Ave.P to implement a federal minimum requirement. Period, New York has increased Medicaid payment rates by Only 3.5 percent starting April 1, 2022 facility size... Emergency crews say they often wait hours with patients in ambulances outside hospital emergency departments because are...
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