Healthcare Law Insights
Analysis of regulatory changes affecting healthcare providers and compliance programs.
AHCA/NCAL Texas affiliate
AHCA/NCAL has welcomed the Texas Nursing Home Coalition as its state affiliate—strengthening advocacy and resources for Texas long-term care providers. Here's what it means for your facility.
CMS Admin Info 26-06-NH (Federal Monitoring Surveys)
CMS Admin Info 26-06 (May 15, 2026) sets FY2026 Federal Monitoring Surveys—federal re-surveys that can add deficiencies after a state survey. What Texas nursing homes should know.
Hospice & Home Health enrollment moratorium
CMS announced a nationwide, six-month enrollment action targeting hospice and home health fraud. New agencies—and some ownership changes—are affected. What Texas providers should know.
Medicare Advantage SNF denials (OIG OEI-09-24-00331)
An OIG report found Medicare Advantage plans overturned nearly all appealed prior-authorization denials for SNF admission. If your SNF faces MA denials, appealing often works.
QSO-26-03-NH (SOM Chapters 5 & 7 revisions)
CMS revised State Operations Manual Chapters 5 and 7 (effective April 30, 2026), expanding civil money penalties and tightening survey and enforcement. What Texas nursing homes should know.
Medicare Payment Suspensions: What Texas Healthcare Providers Should Know
A Medicare payment suspension can stop cash flow overnight. This guide explains common triggers, the difference between suspension and recoupment, and first steps Texas providers should take.