Home Care and Home Health
LeadingAge staff tracks regulations, legislation, funding opportunities and reimbursement around Medicare-certified home health and Medicaid-licensed home care services, as well as non-medical home care. Check here often for important changes as well as current research on how home-based care helps improve quality and reduce costs.
The Centers for Medicare and Medicaid Services (CMS) on November 22 issued the final calendar year 2014 home health care payment rule.
Home health and skilled nursing providers will have until July 1, 2014, to submit Health Insurance Prospective Payment System (HIPPS) codes in claims, according to a notification from the Centers of Medicare and Medicaid Services (CMS).
On January 24, the U.S. District Court for the District of Vermont approved the settlement of Jimmo vs. Sebelius, a class-action lawsuit against the so-called "improvement standard" for Medicare coverage of skilled maintenance services in home health, nursing home and outpatient therapy settings. According to the terms of the settlement, a beneficiary will continue to have Medicare coverage for these services even if the beneficiary's condition does not improve. The Centers for Medicare and Medicaid Services (CMS) is revising its payment manual and plans extensive education to Medicare contractors, providers and others. But in the meantime, the previous "improvement standard" is no longer in effect. More information is available from the Center for Medicare Advocacy, one of the original parties in the Jimmo vs. Sebelius lawsuit.
As of November 19, the Centers for Medicare and Medicaid Services (CMS) will require Medicare beneficiaries to meet 2 sets of criteria before their home health agency considers them to be "confined to the home" (homebound).
There were so many choices for all home and community-based providers at the LeadingAge Annual Conference in Dallas. Here are descriptions and presentations for a few of the sessions on home health, hospice, PACE, non-medical homecare, and other community services.