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        <title>Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements</title>
        <partNumber>Part II</partNumber>
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    <abstract>This final rule sets forth routine updates to the Medicare home health payment rates for calendar year (CY) 2024 in accordance with existing statutory and regulatory requirements. This rule-- discusses comments received regarding access to home health aide services; implements home health payment-related changes; rebases and revises the home health market basket and revises the labor-related share; codifies statutory requirements for disposable negative pressure wound therapy (dNPWT); and implements the new items and services payment for the home intravenous immune globulin (IVIG) benefit. In addition, it--finalizes changes to the Home Health Quality Reporting Program (HH QRP) requirements and the expanded Home Health Value-Based Purchasing (HHVBP) Model; implements the new Part B benefit for lymphedema compression treatment items, codifies the Medicare definition of brace, and makes other codification changes based on recent legislation; adds an informal dispute resolution (IDR) and special focus program (SFP) for hospice programs; codifies DMEPOS refill policy; and finalizes proposed revisions for Medicare provider and supplier enrollment requirements.</abstract>
    <identifier type="FR citation">88 FR 77676</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/FR-2023-11-13/2023-24455</identifier>
    <identifier type="FR Doc No.">2023-24455</identifier>
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    <identifier type="Regulation ID Number">RIN 0938-AV03</identifier>
    <identifier type="billing code">4120-01-P</identifier>
    <identifier type="department code">CMS-1780-F</identifier>
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        <topic>Health Facilities</topic>
        <topic>Medicare</topic>
        <topic>Diseases</topic>
        <topic>Health Professions</topic>
        <topic>Laboratories</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Rural Areas</topic>
        <topic>X-Rays</topic>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Kidney Diseases</topic>
        <topic>Emergency Medical Services</topic>
        <topic>Grant Programs-Health</topic>
        <topic>Home Health Care</topic>
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        <extent>205 p.</extent>
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            <start>77676</start>
            <end>77880</end>
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    <identifier type="preferred citation">88 FR 77676</identifier>
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            <partNumber>Title 42 Part 488</partNumber>
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            <partNumber>Title 42 Part 489</partNumber>
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        <searchTitle>Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements; Federal Register Vol. 88, Issue </searchTitle>
        <granuleClass>RULE</granuleClass>
        <accessId>2023-24455</accessId>
        <partNumber>II</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
        <agency order="2">Centers for Medicare &amp; Medicaid Services</agency>
        <effectiveDate>2024-01-01</effectiveDate>
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        <action>Final rule.</action>
        <summary>This final rule sets forth routine updates to the Medicare home health payment rates for calendar year (CY) 2024 in accordance with existing statutory and regulatory requirements. This rule-- discusses comments received regarding access to home health aide services; implements home health payment-related changes; rebases and revises the home health market basket and revises the labor-related share; codifies statutory requirements for disposable negative pressure wound therapy (dNPWT); and implements the new items and services payment for the home intravenous immune globulin (IVIG) benefit. In addition, it--finalizes changes to the Home Health Quality Reporting Program (HH QRP) requirements and the expanded Home Health Value-Based Purchasing (HHVBP) Model; implements the new Part B benefit for lymphedema compression treatment items, codifies the Medicare definition of brace, and makes other codification changes based on recent legislation; adds an informal dispute resolution (IDR) and special focus program (SFP) for hospice programs; codifies DMEPOS refill policy; and finalizes proposed revisions for Medicare provider and supplier enrollment requirements.</summary>
        <dates>These regulations are effective on January 1, 2024.</dates>
        <contact>Brian Slater, (410) 786-5229, for home health and home IVIG payment inquiries.</contact>
        <cfr title="42">
                                    
            <part number="409"/>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Medicare</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="410"/>
                                    
            <subject>Diseases</subject>
                                    
            <subject>Health Professions</subject>
                                    
            <subject>Laboratories</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                    
            <subject>Rural Areas</subject>
                                    
            <subject>X-Rays</subject>
                                
        </cfr>
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            <part number="414"/>
                                    
            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Kidney Diseases</subject>
                                
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            <part number="424"/>
                                    
            <subject>Emergency Medical Services</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="484"/>
                                    
            <subject>Grant Programs-Health</subject>
                                    
            <subject>Home Health Care</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="488"/>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="489"/>
                                
        </cfr>
        <tocSubject1>Medicare Program:
</tocSubject1>
        <tocDoc>Calendar Year 2024 Home Health Prospective Payment System Rate Update; Quality Reporting Program Requirements; Value-Based Purchasing Expanded Model Requirements; etc., </tocDoc>
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