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AHCA/NCAL: Focus F-Tag of the Week – §483.85 Compliance and Ethics – F895

Nursing facilities participating in Medicare and Medicaid have been required to have a compliance and ethics program since March 23, 2013, under the Affordable Care Act. However, there was no regulatory mechanism to enforce the requirement until CMS issued their revised 2016 Requirements of Participation. The revision included the requirements for the compliance and ethics program at §483.85. Survey enforcement of these standards was delayed due to the pandemic, but will begin on October 24, 2022.

Detailed information can be found in the Appendix PP-State Operations Manual.

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Please email regulatory@ahca.org for additional questions or visit the Survey Preparedness page for more information.

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Resources:

73rd AHCA/NCAL Convention & ExpoRegister to learn about Compliance Programs: Why Does “Effectiveness” Matters
Member Resources
Access the §483.85 Compliance and Ethics Implementation Guide
AHCA Bookstore
Pre-order your copy of the Long-Term Care Survey, Phase 3 Guide

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Tarrah Quinlan, RN, BSN
Director of Education Program Development and Member Operations
518-462-4800 x20