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 2016_register executive 2016-07-01 article Part II Proposed Rules D09002ee1c7f5e586 D09002ee1c7f5e691 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 would update the Home Health Prospective Payment System (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2017. This proposed rule also: Implements the last year of the 4- year phase-in of the rebasing adjustments to the HH PPS payment rates; updates the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking; implements the 2nd-year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment to account for estimated case-mix growth unrelated to increases in patient acuity (that is, nominal case-mix growth) between CY 2012 and CY 2014; proposes changes to the methodology used to calculate outlier payments (with regards to payments made under the HH PPS for high-cost "outlier" episodes of care (that is, episodes of care with unusual variations in the type or amount of medically necessary care)); proposes changes in payment for Negative Pressure Wound Therapy (NPWT) performed using a disposable device for patient's under a home health plan of care; discusses our efforts to monitor the potential impacts of the rebasing adjustments mandated; includes an update on subsequent research and analysis as a result of the findings from the home health study; solicits comments on a potential process for grouping HH PPS claims centrally during claims processing; and proposes changes to the Home Health Value-Based Purchasing (HHVBP) Model, which was implemented on January 1, 2016; and proposes updates to the Home Health Quality Reporting Program (HH QRP). 81 FR 43714 https://www.govinfo.gov/app/details/FR-2016-07-05/2016-15448 2016-15448 fr05jy16-24 RIN 0938-AS80 4120-01-P CMS-1648-P https://www.govinfo.gov/app/details/FR-2016-07-05/2016-15448 https://www.govinfo.gov/content/pkg/FR-2016-07-05/html/2016-15448.htm https://www.govinfo.gov/content/pkg/FR-2016-07-05/pdf/2016-15448.pdf Health Facilities Medicare Health Professions Reporting and Recordkeeping Requirements 75 p. 43714 43788 81 FR 43714 Title 42 Part 409 42 CFR Part 409 Title 42 Part 484 42 CFR Part 484 RIN 0938-AS80 Medicare and Medicaid Programs; CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements; Federal Register Vol. 81, Issue PRORULE 2016-15448 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2016-08-26 CMS-1648-P 4120-01-P 2016-15448 Proposed rule.

This proposed rule would update the Home Health Prospective Payment System (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2017. This proposed rule also: Implements the last year of the 4- year phase-in of the rebasing adjustments to the HH PPS payment rates; updates the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking; implements the 2nd-year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment to account for estimated case-mix growth unrelated to increases in patient acuity (that is, nominal case-mix growth) between CY 2012 and CY 2014; proposes changes to the methodology used to calculate outlier payments (with regards to payments made under the HH PPS for high-cost "outlier" episodes of care (that is, episodes of care with unusual variations in the type or amount of medically necessary care)); proposes changes in payment for Negative Pressure Wound Therapy (NPWT) performed using a disposable device for patient's under a home health plan of care; discusses our efforts to monitor the potential impacts of the rebasing adjustments mandated; includes an update on subsequent research and analysis as a result of the findings from the home health study; solicits comments on a potential process for grouping HH PPS claims centrally during claims processing; and proposes changes to the Home Health Value-Based Purchasing (HHVBP) Model, which was implemented on January 1, 2016; and proposes updates to the Home Health Quality Reporting Program (HH QRP).

To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on August 26, 2016. For general information about the HH PPS, please send your inquiry via email to: HomehealthPolicy@cms.hhs.gov. 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Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2016-07-05 P0b002ee19020a616 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr05jy16 https://www.govinfo.gov/app/details/FR-2016-07-05 https://www.govinfo.gov/content/pkg/FR-2016-07-05/pdf/FR-2016-07-05.pdf https://www.govinfo.gov/content/pkg/FR-2016-07-05/xml/FR-2016-07-05.xml fdlp 43463 43925 DGPO 2016-07-01 2024-06-01 FR-2016-07-05 machine generated eng FR FR-2016-07-05 81 128