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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter G - Standards and Certification |
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Part 484 - Home Health Services |
| Subpart A - General Provisions |
| § 484.1 - Basis and scope. |
| § 484.2 - Definitions. |
| § 484.4 - Personnel qualifications. |
| Subpart B - Patient Care |
| § 484.10 - Condition of participation: Patient rights. |
| § 484.11 - Condition of participation: Release of patient identifiable OASIS information. |
| § 484.12 - Condition of participation: Compliance with Federal, State, and local laws, disclosure and ownership information, and accepted professional standards and principles. |
| § 484.14 - Condition of participation: Organization, services, and administration. |
| § 484.16 - Condition of participation: Group of professional personnel. |
| § 484.18 - Condition of participation: Acceptance of patients, plan of care, and medical supervision. |
| § 484.20 - Condition of participation: Reporting OASIS information. |
| § 484.22 - Condition of participation: Emergency preparedness. |
| § 484.40 - Condition of participation: Release of patient identifiable OASIS information. |
| § 484.45 - Condition of participation: Reporting OASIS information. |
| § 484.50 - Condition of participation: Patient rights. |
| § 484.55 - Condition of participation: Comprehensive assessment of patients. |
| § 484.58 - xxx |
| § 484.60 - Condition of participation: Care planning, coordination of services, and quality of care. |
| § 484.65 - Condition of participation: Quality assessment and performance improvement (QAPI). |
| § 484.70 - Condition of participation: Infection prevention and control. |
| § 484.75 - Condition of participation: Skilled professional services. |
| § 484.80 - Condition of participation: Home health aide services. |
| Subpart C - Furnishing of Services |
| § 484.30 - Condition of participation: Skilled nursing services. |
| § 484.32 - Condition of participation: Therapy services. |
| § 484.34 - Condition of participation: Medical social services. |
| § 484.36 - Condition of participation: Home health aide services. |
| § 484.38 - Condition of participation: Qualifying to furnish outpatient physical therapy or speech pathology services. |
| § 484.48 - Condition of participation: Clinical records. |
| § 484.52 - Condition of participation: Evaluation of the agency's program. |
| § 484.100 - Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients. |
| § 484.102 - Condition of participation: Emergency preparedness. |
| § 484.105 - Condition of participation: Organization and administration of services. |
| § 484.110 - Condition of participation: Clinical records. |
| § 484.115 - Condition of participation: Personnel qualifications. |
| Subpart D - XXX |
| Subpart E - Prospective Payment System for Home Health Agencies |
| § 484.200 - Basis and scope. |
| § 484.202 - Definitions. |
| § 484.205 - Basis of payment. |
| § 484.210 - Data used for the calculation of the national prospective 60-day episode payment. |
| § 484.215 - Initial establishment of the calculation of the national, standardized prospective payment rates. |
| § 484.220 - Calculation of the case-mix and wage area adjusted prospective payment rates. |
| § 484.225 - Annual update of the unadjusted national, standardized prospective payment rates. |
| § 484.230 - Low-utilization payment adjustments. |
| § 484.235 - Partial payment adjustments. |
| § 484.237 - Methodology used for the calculation of the significant change in condition payment adjustment. |
| § 484.240 - Outlier payments. |
| § 484.245 - Requirements under the Home Health Quality Reporting Program (HH QRP). |
| § 484.250 - OASIS data. |
| § 484.260 - Limitation on review. |
| § 484.265 - Additional payment. |
| Subpart F - Home Health Value-Based Purchasing (HHVBP) Models |
| § 484.305 - Definitions. |
| § 484.315 - Data reporting for measures and evaluation and the public reporting of model data under the Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.320 - Calculation of the Total Performance Score. |
| §§ 484.340--484.375 - xxx |
| HHVBP Model Components for Competing Home Health Agencies Within State Boundaries for the Original HHVBP Model |
| § 484.300 - Basis and scope of subpart. |
| § 484.310 - Applicability of the Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.325 - Payments for home health services under Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.330 - Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.335 - Appeals process for the Home Health Value-Based Purchasing (HHVBP) Model. |
| HHVBP Model Components for Competing Home Health Agencies (HHAs) for HHVBP Model Expansion—Effective January 1, 2022 |
| § 484.340 - Basis and scope of this subpart. |
| § 484.345 - Definitions. |
| § 484.350 - Applicability of the Expanded Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.355 - Data reporting for measures and evaluation and the public reporting of model data under the expanded Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.358 - HHVBP Measure removal factors. |
| § 484.360 - Calculation of the Total Performance Score. |
| § 484.365 - Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.370 - Process for determining and applying the value-based payment adjustment under the Expanded Home Health Value-Based Purchasing (HHVBP) Model. |
| § 484.375 - Appeals process for the Expanded Home Health Value-Based Purchasing (HHVBP) Model. |