Collection of Staffing Data for LTC Facilities

On April 10, 2015, the Centers for Medicare and Medicaid Services (CMS) issued a Survey & Certification Memorandum entitled Implementation of Section 6106 of the Affordable Care Act – Collection of Staffing Data for Long Term Care Facilities.   CMS has created a system for centers to submit staffing and census information and it is called the Payroll-Based Journal (PBJ).  The PBJ is intended to meet the criteria outlined in the Affordable Care Act for electronic submission of direct care staffing information.  CMS intends to collect staffing and census data on a voluntary basis beginning October 1, 2015.  All nursing centers will be required to submit staffing and census data using the PBJ beginning July 1, 2016.  The memorandum includes a link to access additional information about the system and information specifically for vendors or software developers.  Additional information that is currently available for providers includes a Policy Manual for the PBJ.  

The American Health Care Association (AHCA) strongly encourages members to review the information on the PBJ website as well as the PBJ Policy Manual and send any questions or concerns directly to We also ask that you copy Lyn Bentley ( on any email that you send to CMS regarding this matter.

AHCA will apprise you of additional information as we learn more about the PBJ.