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Medicare and Medicaid Programs; CY 2015 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Survey and Enforcement Requirements for Home Health Agencies
Part II
Rules and Regulations
D09002ee1bdc382c2
D09002ee1bdc38386
United States
Department of Health and Human Services
originator
org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This final rule updates Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective for episodes ending on or after January 1, 2015. As required by the Affordable Care Act, this rule implements the second year of the four-year phase-in of the rebasing adjustments to the HH PPS payment rates. This rule provides information on our efforts to monitor the potential impacts of the rebasing adjustments and the Affordable Care Act mandated face-to- face encounter requirement. This rule also implements: Changes to simplify the face-to-face encounter regulatory requirements; changes to the HH PPS case-mix weights; changes to the home health quality reporting program requirements; changes to simplify the therapy reassessment timeframes; a revision to the Speech-Language Pathology (SLP) personnel qualifications; minor technical regulations text changes; and limitations on the reviewability of the civil monetary penalty provisions. Finally, this rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and a HH value-based purchasing (HH VBP) model.
79 FR 66032
https://www.govinfo.gov/app/details/FR-2014-11-06/2014-26057
2014-26057
fr06no14-12
RIN 0938-AS14
4120-01-P
CMS-1611-F
https://www.govinfo.gov/app/details/FR-2014-11-06/2014-26057
https://www.govinfo.gov/content/pkg/FR-2014-11-06/html/2014-26057.htm
https://www.govinfo.gov/content/pkg/FR-2014-11-06/pdf/2014-26057.pdf
Health Facilities
Medicare
Emergency Medical Services
Health Professions
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
87 p.
66032
66118
79 FR 66032
Code of Federal Regulations
Title 42 Part 409
42 CFR Part 409
Code of Federal Regulations
Title 42 Part 424
42 CFR Part 424
Code of Federal Regulations
Title 42 Part 484
42 CFR Part 484
Code of Federal Regulations
Title 42 Part 488
42 CFR Part 488
Code of Federal Regulations
Title 42 Part 498
42 CFR Part 498
Regulation Identification Number 0938-AS14
RIN 0938-AS14
Medicare and Medicaid Programs; CY 2015 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Survey and Enforcement Requirements for Home Health Agencies; Federal Register Vol. 79, Issue
RULE
2014-26057
II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
2015-01-01
CMS-1611-F
4120-01-P
2014-26057
Final rule.
This final rule updates Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective for episodes ending on or after January 1, 2015. As required by the Affordable Care Act, this rule implements the second year of the four-year phase-in of the rebasing adjustments to the HH PPS payment rates. This rule provides information on our efforts to monitor the potential impacts of the rebasing adjustments and the Affordable Care Act mandated face-to- face encounter requirement. This rule also implements: Changes to simplify the face-to-face encounter regulatory requirements; changes to the HH PPS case-mix weights; changes to the home health quality reporting program requirements; changes to simplify the therapy reassessment timeframes; a revision to the Speech-Language Pathology (SLP) personnel qualifications; minor technical regulations text changes; and limitations on the reviewability of the civil monetary penalty provisions. Finally, this rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and a HH value-based purchasing (HH VBP) model.
Effective Date: These regulations are effective on January 1, 2015.
Hillary Loeffler, (410) 786-0456, for general information about the HH PPS.
Health Facilities
Medicare
Emergency Medical Services
Health Professions
Reporting and Recordkeeping Requirements
Administrative Practice and Procedure
Medicare and Medicaid Programs:
Home Health Prospective Payment System Rate Update, CY 2015; Home Health Quality Reporting Requirements; and Survey and Enforcement Requirements for Home Health Agencies
,
grouperemail@mmm.com
HHCAHPS@rti.org
http://oig.hhs.gov/oei/reports/oei-01-10-00460.asp
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http://www.whitehouse.gov/sites/default/files/omb/bulletins/2013/b-13-01.pdf
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https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/ge101c04.pdf
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pim83c05.pdf
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Downloads/HHP4P_Demo_Eval_Final_Vol1.pdf
Medicare.gov
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www.medicare.gov
www.whitehouse.gov/omb/bulletins/b03-04.html
Federal Register
Vol. 79, no. 215
Office of the Federal Register, National Archives and Records Administration
2014-11-06
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