United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2009_register executive 2009-08-13 article Part III Proposed Rules D09002ee1c8042ff4 D09002ee1c80430e0 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This proposed rule sets forth an update to the Home Health Prospective Payment System (HH PPS) rates; the national standardized 60-day episode rates, the national per-visit rates, the non-routine medical supply (NRS) conversion factor, and the low utilization payment amount (LUPA) add-on payment amount, under the Medicare prospective payment system for home health agencies effective January 1, 2010. In addition, this rule proposes a change to the HH PPS outlier policy and proposes to require the submission of OASIS data as a condition for payment under the HH PPS. Also, this rule proposes payment safeguards that would improve our enrollment process, improve the quality of care that Medicare beneficiaries receive from HHAs, and reduce the Medicare program's vulnerability to fraud. This rule also proposes clarifying language to the "skilled services" section and Condition of Participation (CoP) section of our regulations. This proposed rule also clarifies the coverage of routine medical supplies under the HH PPS. We are also soliciting comments on: Physician/patient interaction associated with the home health plan of care (POC); a Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home Health Care Survey; the Outcome and Assessment Information Set (OASIS), Version C, effective January 1, 2010; proposed pay for reporting measures for use in CY 2011; and a number of minor payment-related issues. We are also responding to comments received as a result of our solicitation in the CY 2008 HH PPS final rule with comment period. 74 FR 40948 https://www.govinfo.gov/app/details/FR-2009-08-13/R9-18587 R9-18587 FR13AU09-26 RIN 0938-AP20 13-01-00-D CMS-1560-P https://www.govinfo.gov/app/details/FR-2009-08-13/R9-18587 https://www.govinfo.gov/content/pkg/FR-2009-08-13/html/R9-18587.htm https://www.govinfo.gov/content/pkg/FR-2009-08-13/pdf/R9-18587.pdf Health Facilities Medicare Emergency Medical Services Health Professions Reporting and Recordkeeping Requirements Reporting and Recordkeeping Requirements 58 p. 40948 41005 74 FR 40948 Title 42 Part 409 42 CFR Part 409 Title 42 Part 424 42 CFR Part 424 Title 42 Part 484 42 CFR Part 484 Title 42 Part 489 42 CFR Part 489 RIN 0938-AP20 Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2010; Federal Register Vol. 74, Issue PRORULE R9-18587 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2009-09-28 CMS-1560-P 13-01-00-D R9-18587 Proposed rule.

This proposed rule sets forth an update to the Home Health Prospective Payment System (HH PPS) rates; the national standardized 60-day episode rates, the national per-visit rates, the non-routine medical supply (NRS) conversion factor, and the low utilization payment amount (LUPA) add-on payment amount, under the Medicare prospective payment system for home health agencies effective January 1, 2010. In addition, this rule proposes a change to the HH PPS outlier policy and proposes to require the submission of OASIS data as a condition for payment under the HH PPS. Also, this rule proposes payment safeguards that would improve our enrollment process, improve the quality of care that Medicare beneficiaries receive from HHAs, and reduce the Medicare program's vulnerability to fraud. This rule also proposes clarifying language to the "skilled services" section and Condition of Participation (CoP) section of our regulations. This proposed rule also clarifies the coverage of routine medical supplies under the HH PPS. We are also soliciting comments on: Physician/patient interaction associated with the home health plan of care (POC); a Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home Health Care Survey; the Outcome and Assessment Information Set (OASIS), Version C, effective January 1, 2010; proposed pay for reporting measures for use in CY 2011; and a number of minor payment-related issues. We are also responding to comments received as a result of our solicitation in the CY 2008 HH PPS final rule with comment period.

To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 28, 2009. Randy Throndset, (410)786-0131 (overall HH PPS). Sharon Ventura, (410) 786-1985 (for information related to payment rates and wage indexes). James Bossenmeyer, (410) 786-9317 (for information related to payment safeguards). Doug Brown, (410) 786-0028 (for quality issues). Kathleen Walch, (410) 786-7970 (for skilled services requirements and clinical issues). Health Facilities Medicare Emergency Medical Services Health Professions Reporting and Recordkeeping Requirements Reporting and Recordkeeping Requirements Medicare Program: Home Health Prospective Payment System Rate Update (Calendar Year 2010); Republication , HHCAHPS@rti.org OIRA_submission@omb.eop.gov http://oig.hhs.gov/oei/reports/oei-07-06-00641.pdf http://www.cms.hhs.gov/PaperworkReductionActof1995/PRAL/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=2&sortOrder=descending&itemID=CMS1217682&intNumPerPage=10 http://www.cms.hhs.gov/Reports/downloads/Coleman_Final_April_2008.pdf http://www.homehealthcahps.org http://www.medicare.gov/HHCompare/Home.asp http://www.medpac.gov/documents/Mar04_Entire_reportv3.pdf http://www.medpac.gov/transcripts/0108-0109MedPAC.final.pdf http://www.regulations.gov http://www.whitehouse.gov/omb/bulletins/fy2009/09-01.pdf https://www.homehealthcahps.org Vol. 74, no. 155 Office of the Federal Register, National Archives and Records Administration 2009-08-13 continuing daily deposited born digital 319 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2009-08-13 P0b002ee18001e450 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:FR13AU09 https://www.govinfo.gov/app/details/FR-2009-08-13 https://www.govinfo.gov/content/pkg/FR-2009-08-13/pdf/FR-2009-08-13.pdf https://www.govinfo.gov/content/pkg/FR-2009-08-13/xml/FR-2009-08-13.xml fdlp 40719 41031 DGPO 2009-08-13 2024-06-04 FR-2009-08-13 machine generated eng FR FR-2009-08-13 74 155