Home Health Services

The Balanced Budget Act of 1997, as amended by the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) of 1999, called for the development and implementation of a prospective payment system (PPS) for Medicare home health services. The BBA put in place the interim payment system (IPS) until the PPS could be implemented. Effective October 1, 2000, the home health PPS replaced the IPS for all home health agencies. The PPS final rule was published on July 3, 2000.

In addition to this Web site, AHA members may also be interested in visiting the Constituency Section for Long-Term Care and Rehabilitation, which seeks to improve continuity of care between acute, pre- and post-acute, and long-term services, and to support efforts to improve delivery of health-related services to chronically ill, elderly, and disabled persons requiring continuing care in institutions, the community, and the home.

New Home Health Certification Requirement
A new Medicare home health law goes into effect on January 1, 2011 that affirms the role of the physician as the person who orders home health care based on personal examination of the patient. CMS has reported that more detailed information on this issue will be made available on the CMS home health agency website at:  http://www.cms.gov/center/hha.asp, under the Spotlight section.  HH providers should be aware that physicians may not be aware of this change and notify them as appropriate.  For your convenience, listed below are links to sample resources developed by the New Jersey Hospital Association and the Home Care Association of New Jersey that may be adapted for your use.

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