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Nursing Home Toolkit

Guidance for resources for providers and beneficiaries that explain the nursing home Medicaid benefit and common types of fraud, waste, and abuse

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 15, 2020

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Nursing Home Toolkit

We have created resources for providers and beneficiaries that explain the nursing home Medicaid benefit and common types of fraud, waste, and abuse. The resources for nursing home providers also discuss improper payments, government anti-fraud efforts, and nursing home quality of care, such as quality of life, resident rights, and resident freedom from fraud and abuse. Resources for beneficiaries include information about eligibility and admission criteria, resident rights, and quality of care.

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HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.