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        <title>Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2011; Changes in Certification Requirements for Home Health Agencies and Hospices</title>
        <partNumber>Part II</partNumber>
        <partName>Proposed Rules</partName>
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    <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.</abstract>
    <identifier type="FR citation">75 FR 43236</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/FR-2010-07-23/2010-17753</identifier>
    <identifier type="FR Doc No.">2010-17753</identifier>
    <identifier type="former granule identifier">FR23JY10_DAT-36</identifier>
    <identifier type="Regulation ID Number">RIN 0938-AP88</identifier>
    <identifier type="billing code">4120-01-P</identifier>
    <identifier type="department code">CMS-1510-P</identifier>
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    <subject>
        <topic>Health Facilities</topic>
        <topic>Medicare</topic>
        <topic>Hospice Care</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Emergency Medical Services</topic>
        <topic>Health Professions</topic>
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            <start>43236</start>
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    <identifier type="preferred citation">75 FR 43236</identifier>
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            <partNumber>Title 42 Part 409</partNumber>
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        <searchTitle>Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2011; Changes in Certification Requirements for Home Health Agencies and Hospices; Federal Register Vol. 75, Issue </searchTitle>
        <granuleClass>PRORULE</granuleClass>
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        <partNumber>II</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
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        <commentDate>2010-09-14</commentDate>
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        <action>Proposed rule.</action>
        <summary>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.</summary>
        <dates>To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 14, 2010.</dates>
        <contact>Randy Throndset, (410) 786-0131 (overall HH PPS). 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).</contact>
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            <subject>Hospice Care</subject>
                                    
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        <tocSubject1>Medicare Program:</tocSubject1>
        <tocDoc>Home Health Prospective Payment System Rate Update (CY 2011); Changes in Certification Requirements for Home Health Agencies and Hospices
, </tocDoc>
        <emailRef>HHCAHPS@rti.org</emailRef>
        <emailRef>OIRA_submission@omb.eop.gov</emailRef>
        <urlRef>http://www.cms.gov/homehealthpps/01_overview.asp</urlRef>
        <urlRef>http://www.cms.gov/HomeHealthQualityInits/downloads/HHQIAttachmentD.pdf</urlRef>
        <urlRef>http://www.cms.hhs.gov/HomeHealthQualityInits/12_HHQIOASISDataSet.asp#TopOfPage</urlRef>
        <urlRef>http://www.homehealthcahps.org</urlRef>
        <urlRef>http://www.medicare.gov/HHCompare/Home.asp</urlRef>
        <urlRef>http://www.regulations.gov</urlRef>
        <urlRef>http://www.whitehouse.gov/omb/assets/bulletins/b10-02.pdf</urlRef>
        <urlRef>https://www.homehealthcahps.org</urlRef>
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