Comments Due Aug. 24 on Medicare Home Health Proposed Payment Rule

Posted on July 01, 2020

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service prospective payment system (PPS) for home health (HH) agencies, effective Jan. 1, 2021. Provisions of the proposed rule include:

  • A net 2.6% increase to the HH PPS 30-day standardized payment rate.
  • Continued application of the 4.36% behavioral adjustment implemented Jan. 1, 2020, which the CMS maintains is necessary to offset the cost of the new case-mix system, the patient-driven groupings model.
  • Capping wage index decreases at 5% in 2021, with no cap for 2022.
  • Permanently extending the use of certain telecommunications technologies that were implemented during the COVID-19 public health emergency via the March 30, 2020, interim final rule.
  • Creating new Medicare enrollment policies for qualified home infusion therapy providers and updates to the 2021 home infusion therapy services payment rates using 2021 physician fee schedule amounts.
  • Maintaining existing requirements for the HH quality reporting and value-based purchasing programs.

In the next few weeks, the MHA will provide members with facility-specific impact analyses of the proposed rule. The association will also share its draft comments and encourages members to submit comments to the CMS by the Aug. 24 due date. A final rule is expected to be released by Nov. 1 for the Jan. 1, 2021, effective date.  Members with questions should contact Vickie Kunz at the MHA

Tags: CMS, Medicare, Vickie Kunz, PPS

Posted in: Member News

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