HomeLatest NewsFederal NewsHeightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings

Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings

With respect to settings under development or new construction, CMS issued guidance in 2016 that stated that CMS would only be able to determine whether a setting overcame its institutional presumption after the facility was operational and occupied by Medicaid beneficiaries who were receiving services in the setting.​ At this time, CMS is revising the 2016 guidance to allow the state to submit a setting to CMS for a heightened scrutiny review while only non-Medicaid beneficiaries are receiving services in the new setting.  ​The August 2nd Bulletin from Calder Lynch, Acting Deputy Administrator and Director Center for Medicaid and CHIP Services, provides clarification and ​​examples ​​for this new guidance.

Stay Connected

Unified Voice Newsletter

Events This Month


30may11:00 am12:00 pmEmployee Accountability: How to Address Problem Behaviors and AttitudesSDAHO Webinar

30may11:00 am12:00 pmExploring an Evidence-based Toolkit and Tailoring Messages to Specific Audiences

30may11:30 am12:30 pmSerious Illness DiscussionMJHS Hospice and Palliative Care Webinar

30may12:00 pm1:00 pmOverview of Proposed IPPS Rule (FY) 2025AHA Webinar

31may9:00 am3:00 pmEmpowerED Leadership ConferenceSDAHEC Conference

By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact