After a full calendar year with no changes, the CMS Policy Manual was updated in October 2018 to version 2.5.  This manual lasted almost four years before the next update in 2022.  2018 updates included:

  • Reminder that the PBJ system will not accept submissions after the deadline.
  • Created a definition of required Meal times deductions based on hours worked and staff type.
  • Add rules for Universal Care Workers that provide both CNA and non-CNA services.
  • Further defined the job roles of Medical Director, Paid Feeding Assistant and Qualified Activities Professional.

A substantially long description of required meal breaks was included in this version to eliminate confusion and any arbitrariness in the removal of meal breaks time from reported paid and worked hours.

Don’t see the Download button?
Get a free Access Pass to access all our PBJ Library archives.


PBJ Policy Manual v2.5


October, 2018



More Resources in the PBJ Library

Five Star QRS Technical Users’ Guide

CMS QSO Memorandums and Guidance

Payroll-Based Journal (PBJ) Policy Manual

PBJ Resources for Providers from CMS

Studies and Research Using PBJ Data