Billing Guidance Issued on CHHA Episodic Payment System

The Department of Health (DOH) published detailed guidance on Dec. 27, 2018 regarding synchronization of Medicare and Medicaid episodes. This follows up on previously published guidance dated April 2013 relating to start dates for episodes of care. The new guidance clarifies that synchronization is optional, and information regarding services for Medicare should not be included on bills to Medicaid.

To view the guidance, please click here under the heading EPS – CHHA Billing Guidance – December 26, 2018.

Please direct questions on the revised Certified Home Health Agency (CHHA) episodic billing guidance to CHHA-rates@health.ny.gov, attention Russ Smith.

Contact: Meg Carr Everett, meverett@leadingageny.org, 518-867-8871