The Centers for Medicare and Medicaid Services (CMS) recently updated the Long Stay (LS) Antipsychotic measure calculation to include claims. CMS reports it has identified a subset of residents with a history of schizophrenia that should have been excluded from the measure calculation. Currently, it is updating the calculation to ensure these residents are appropriately excluded from the measure to be consistent with the measure specifications. In addition, CMS plans to update the cut-points used for the measure in the Five-Star calculations. CMS has communicated that it intends to update the data with the Care Compare refresh scheduled for April 29, 2026, and providers will be able to see any updates that are made to their ratings in their April 22, 2026, Five-Star Provider Preview Reports on iQIES.
If facilities have questions or believe there may be an issue with their LS antipsychotic measure calculation, CMS encourages them to contact the
SNF QRP Help Desk. AHCA members may also send questions to
regulatory@ahca.org.