42 CFR 484, Subpart E - Prospective Payment System for Home Health Agencies
- § 484.200 — Basis and scope.
- § 484.202 — Definitions.
- § 484.205 — Basis of payment.
- § 484.210 — Data used for the calculation of the national prospective 60-day episode payment.
- § 484.215 — Initial establishment of the calculation of the national 60-day episode payment.
- § 484.220 — Calculation of the adjusted national prospective 60-day episode payment rate for case-mix and area wage levels.
- § 484.225 — Annual update of the unadjusted national prospective 60-day episode payment rate.
- § 484.230 — Methodology used for the calculation of the low-utilization payment adjustment.
- § 484.235 — Methodology used for the calculation of the partial episode payment adjustment.
- § 484.240 — Methodology used for the calculation of the outlier payment.
- § 484.245 — Accelerated payments for home health agencies.
- § 484.250 — Patient assessment data.
- § 484.260 — Limitation on review.
- § 484.265 — Additional payment.
Title 42 published on 2012-10-01
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Title 42 published on 2012-10-01
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 484 after this date.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-26904 RIN 0938-AR18 CMS-1358-F DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Final rule. This rule is effective on January 1, 2013, except for: a. The amendments to 42 CFR 488.2, 488.3, 488.26, and 488.28, and the additions of 42 CFR part 488, subparts I and J, which are effective July 1, 2013 (except that § 488.745, § 488.840 and § 488.845 are effective July 1, 2014). b. The amendments to 42 CFR 489.53 and 498.3, which are effective July 1, 2013. 42 CFR Parts 409, 424, 484, 488, 489, and 498 This final rule updates the Home Health Prospective Payment System (HH PPS) rates, including the national standardized 60-day episode rates, the national per-visit rates, the low-utilization payment amount (LUPA), the non-routine medical supplies (NRS) conversion factor, and outlier payments under the Medicare prospective payment system for home health agencies effective January 1, 2013. This rule also establishes requirements for the Home Health and Hospice quality reporting programs. This final rule will also establish requirements for unannounced, standard and extended surveys of home health agencies (HHAs) and sets forth alternative sanctions that could be imposed instead of, or in addition to, termination of the HHA's participation in the Medicare program, which could remain in effect up to a maximum of 6 months, until an HHA achieves compliance with the HHA Conditions of Participation (CoPs) or until the HHA's provider agreement is terminated.