Posted on August 02, 2017
On July 25, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule to update the Medicare fee-for-service (FFS) home health (HH) prospective payment system (PPS) for 2018. Highlights of the proposed rule include:
The proposed reconfiguration of the HH PPS noted above includes a new case-mix methodology, known as the home health groupings model (HHGM), and a reduction in the unit of payment from a 60-day to a 30-day episode of care. The proposed HHGM would take effect Jan. 1, 2019, and would rely on clinical characteristics and other patient information, rather than on the current nine therapy thresholds, to assign patients into payment categories based on:
In the next few weeks, the MHA will provide additional detail regarding the HH proposed rule, including a facility-specific impact analysis. The association will also make its draft comments available for members’ use in submitting their own comments to the CMS by Sept. 25. The CMS is expected to release a final rule by Nov. 1 for the Jan. 1, 2018, effective date. Members with questions should contact Vickie Kunz at the MHA.
Tags: home health, CMS, PPS, FFS
Posted in: Member News
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