Section 6106 of the Patient Protection and Affordable Care Act


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Beginning not later than two years after March 23, 2010, each NF and SNF must electronically submit to the Secretary of HHS direct care staffing information (including information with respect to agency and contract staff) based on payroll and other verifiable and auditable data in a uniform format as established by the Secetary of HHS.

The staffing information submitted must:

  • specify the category of work a certified employee performs (such as whether the employee is a registered nurse, licensed practical nurse, licensed vocational nurse, certified nursing assistant, therapist, or other medical personnel);
  • include resident census data and information on resident case mix;
  • include a regular reporting schedule; and
  • include information on employee turnover and tenure and on the hours of care provided by each category of certified employees per resident per day.