Lexology November 14, 2024
On November 7, 2024, the Centers for Medicare & Medicaid Services (“CMS”) published a final rule (“Final Rule”) that added a new condition of participation for home health agencies (“HHA”) to participate in Medicare under the “Medicare Program; Calendar Year (“CY”) 2025 Home Health Prospective Payment System (“HH PPS”) Rate Update” for the calendar year 2025.
New Policy Requirements
In the Final Rule, CMS finalized a new standard at 42 CFR § 484.105(i) that would require HHAs to develop, implement and maintain an acceptance-to-service policy that is applied consistently to each prospective patient referred for home health care. CMS stated that the purpose of the new requirements is to address concerns regarding the referral and acceptance process and their implications...
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