Medicare Program: Home Health Prospective Payment System Rate Update (CY 2011); Changes in Certification Requirements for Home Health Agencies and Hospices

Document ID: CMS-2010-0213-0001
Document Type: Proposed Rule
Agency: Centers For Medicare & Medicaid Services
Topics: Health Facilities, Medicare
Federal Register Number: 2010-17753
CFR Citation: 42 CFR Parts 409, 418, 424, 484, and 489
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Details Information

Abstract:	This proposed rule would set forth an update to the Home Health Prospective Payment System (HH PPS) rates, including: The national standardized 60-day episode rates, the national per-visit rates, the non-routine medical supply (NRS) conversion factors, and the low utilization payment amount (LUPA) add-on payment amounts, under the Medicare prospective payment system for HHAs effective January 1, 2011. This rule also proposes to update the wage index used under the HH PPS and, in accordance with The Affordable Care Act of 2010 (The Affordable Care Act), Public Law 111–148, to update the HH PPS outlier policy. In addition, this rule proposes changes to the home health agency (HHA) capitalization requirements. This rule further proposes to add clarifying language to the ‘‘skilled services’’ section. Finally, this rule incorporates new legislative requirements regarding face-to-face encounters with providers related to home health and hospice care.
Document Subtype:	Advance Notice of Proposed Rulemaking (ANPRM)
Received Date:	July 23 2010, at 12:00 AM Eastern Daylight Time
Start-End Page:	43235 - 43306
Page Count:	72
Comment Start Date:	July 23 2010, at 12:00 AM Eastern Standard Time
Comment Due Date:	September 14 2010, at 11:59 PM Eastern Standard Time