Final Rule: Face-to-Face Requirements for Home Health Services; Policy Changes and Clarifications Related to Home Health (CMS-2348-F)

The Centers for Medicare & Medicaid Services (CMS) issued a final rule which revises the Medicaid home health services definition to add specific requirements for home health services which, under Medicaid, includes medical supplies, equipment and appliances.

IThis rule revises section 6407 of the Patient Protection and Affordable Care Act of 2010 and the Medicare Access and CHIP Reauthorization Act of 2016. The goal is for home health services, physician’s documents, medical equipment, physicians and non-physician practitioners to document the face to face encounter with Medicaid eligible beneficiary

This rule will promote program integrity and provide clear guidance on the parameters of the home health benefit. Additionally, this rule aligns with Medicare to the greatest extent possible which will help to streamline beneficiaries’ access to receive needed items and maximize consistency in service delivery, as well as reduce administrative burden on the provider community.

Source:CMS