CMS Home Health Rule: Quality Reporting Program

CMS proposed and finalized to end the suspension of the collection of Outcome and Assessment Information Set (OASIS) data on non-Medicare and non-Medicaid patients, and to require HHAs to report all-payer OASIS data for purposes of the HH QRP for CY 2025.  The Centers for Medicare & Medicaid Services (CMS) proposed for the CY 2025…

CMS Proposes Payment Rate Update to Home Health in 2022

Proposal to expand HHVBP demonstration nationwide 4.36% behavioral adjustment remains The 2022 proposed Medicare home health rates represent a simple inflation rate update, a proposal to recalibrate the case mix weights while maintaining the Low Utilization Payment Adjustment (LUPA) threshold amounts. A scheduled phasing-out of the rural add-on, and the continuation of outlier payment standards, with…

Home Health 2019 Final Rule Is Flawed and NAHC is Fighting to Improve it

The Centers for Medicare & Medicaid Services (CMS) issued the CY 2019 Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019, and it contains a number of provisions NAHC objects to and will be fighting to change before the proposed rule is implemented, which would be 2020.…

CMS Flexibility in Enforcing Medicaid Home Health Final Rule

The Centers for Medicare & Medicaid Services (CMS) has issued a letter to State Governors announcing its plans to work with states in implementing certain provisions of the Medicaid Home Health final rule and the confusion surrounding compliance deadlines. CMS has received feedback from states regarding the continued administrative challenges associated with implementing several of…