The Centers for Medicare & Medicaid Services (CMS) is announcing that under the new program, home health agencies (HHAs) could choose to undergo either pre-claim or post-payment reviews, or to forgo reviews but take a 25% payment reduction on all claims submitted for home health services. In the CMS memo issued Tuesday, CMS proposes to roll out the reviews in Illinois, Ohio, North Carolina, Florida and Texas, with the option to expand to other states under the jurisdiction of Medicare … [Read more...] about New Version of Pre-Claim Review for Home Health Proposed by CMS
(CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs)
Provider Letter 17-35 DADS released the latest Provider Letter 17-35 – Determination of Separate Entities which replaces PL 01-46 & PL 02-05 for Medicare Certified Home and Community Support Service Agencies. The letter details that the Centers for Medicare and Medicaid Services (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs) for all clients being served by the agency, regardless of a client’s payment source. The … [Read more...] about (CMS) requires that Medicare-certified home health agencies (HHAs) meet the Medicare Conditions of Participation (CoPs)
Moratorium on HHA Enrollment in Texas
Provider Letter No. 16-35 –Frequently Asked Questions (FAQs) relating to licensing and the Centers for Medicare & Medicaid Services (CMS) Moratorium on Home Health Agency (HHA) Enrollment in Texas (Replaces PL 14-12)The federal moratorium on enrollment of HHAs in the Medicare, Medicaid and Children’s Health Insurance Programs (CHIP), is expanded to include the entire state of Texas. The initial moratorium, first implemented on January 30, 2014 and extended through July 28, 2016, affected the … [Read more...] about Moratorium on HHA Enrollment in Texas
