CMS Revises Provisional Period of Enhanced Oversight Program

The Centers for Medicare & Medicaid Services (CMS) has revised their Provisional Period of Enhanced Oversight program to incorporate policies under the Patient Driven Groupings Model (PDGM) for requests for anticipated payments (RAPs). In February, 2019 CMS announced a Provisional Period of Oversight program that places home health agencies (HHAs) that are newly enrolled or…

CMS Clarifies CHOWs Are Subject to Provisional Enhanced Oversight

The Centers for Medicare & Medicaid Services (CMS) has issued a revision to clarify the types of agencies that are affected by the provisional enhanced oversight, noting that all initial enrollments, changes of ownership (CHOW) that fall under 42 C.F.R §489.18, and changes of information reporting a100% ownership change are subject to provisional enhanced oversight.…

CMS Answers Questions on Provisional Enhanced Oversight of New Home Health Agencies

The National Association for Home Care & Hospice (NAHC) has received clarification on several areas related to MLN Matters® article SE 19005, which describes a period of provisional enhanced oversight for newly enrolled home health agencies (HHAs). The Centers for Medicare & Medicaid (CMS) recently announced that newly enrolled HHAs are subject to a period…