FFY 2020 Medicare Home Health Maximization Services Initiative

The Office of the Medicaid Inspector General (OMIG) has sent a letter to selected home health providers to resume the semi-annual demand billing process for the Federal Fiscal Year (FFY) 2020 Medicare Home Health Maximization Services Initiative. This process is to ensure that providers seek reimbursement from Medicare and all other third parties before submitting a claim to Medicaid (Section 540.6(e)(1) of Title 18 NYCRR).

OMIG has contracted with the University of Massachusetts Medical School (UMass) to perform the Medicare Home Health Appeals Initiative. The Demand Bill Notification letter for the FFY 2020 Medicare Home Health Maximization Services Initiative was sent for delivery via UPS on Aug. 31, 2020 (a sample is here). Selected providers will be asked to report on dates of services from Oct. 1, 2019 through March 31, 2020 or the end of the episodic period billed to Medicaid.

Providers with questions can contact Erin Devaney at 617-886-8219.

Contact: Meg Carr Everett, meverett@leadingageny.org, 518-929-9342