The skilled nursing facility and assisted living community achieved an important victory June 30 when Pres Bush signed an Iraq war spending bill that delays six Medicaid rules until April 2009. The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) had sought a one-year moratorium on seven Medicaid regulations that would result in lower Medicaid funding, four of which industry officials said would negatively affect seniors and their care. In comments submitted to Centers for Medicare & Medicaid Services regarding the cuts, AHCA said the agency does not have the authority to "correct" for an error in forecasting budget neutrality for case-mix adjustments, which is at the heart of the issue. American Association of Homes and Services for the Aging pointed out that providing high-quality services does not protect even the best providers from unfounded lawsuits.
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