Tools & Resources

Centers for Medicare & Medicaid Services (CMS) New LTC Regulations

In Fall of 2016, the Centers for Medicare and Medicaid Services (CMS) released a complete overhaul of the Nursing Home, Long-Term Care (LTC) regulations. These rules represents the first major update of these regulations in 25 years – setting new staffing, patient protections, and compliance requirements for LTC facilities. CMS has adopted a phased approach for the rollout, spreading out implementation of the various requirements over the next three years, November 2016, 2017, and 2018.

Look to ANFP as your resource and guide to what to know to stay in compliance!

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Collecting Facts

As a result of the new CMS regulations, congressional legislation is no longer needed to establish training and certification requirements for the Director of Food and Nutrition Services. The focus is now on implementing the CMS regulations at the state level.  These tools will provide you with the current states that recognize the CDM,CFPP credential, a map of each state’s LTC statistics and ANFP member count and direct links to your state’s Governor.

States Recognizing the Credential

The Credential Map at a Glance

Achieving Your Advocacy Goals

"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the government for a redress of grievances." - First Amendment to the U.S. Constitution.

Developing an Effective Legislative Strategy

Learn the ways to make a difference.
Understand the processes.
Establish an effective monitoring system.
Create a coordinated Advocacy Team.
Identify realistic goals.
Look for appropriate opportunities.
Make yourselves heard.

Follow the 16 Rules for Effective Advocacy

Rule 1: Begin your lobbying efforts when you don’t need to.
Rule 2: Be credible and respected.
Rule 3: Understand the politician’s frame of reference.
Rule 4: Understand the governmental decision-making process.
Rule 5: Know your issue and how it affects you, your operations, or your association.
Rule 6: Prepare a concise summary of the issue – develop a one-pager with essential details to leave behind; have supporting materials available.
Rule 7: Develop a written lobbying strategy and implementation plan.
Rule 8: Be respectful of, and recognize the time and resource constraints facing the elected or other governmental official.
Rule 9: Hire a professional to assist.
Rule 10: Respect and embrace the staff.
Rule 11: Use technology for communication and research.
Rule 12: Develop coalitions with like-minded organizations and businesses.
Rule 13: Develop a media strategy to promote your message and to reach decision-makers.
Rule 14: Be courteous and tolerant with elected officials and their staffs.
Rule 15: Follow-up regularly.
Rule 16: Be patient awaiting action but remain tenacious and vigilant.