Several CHHA Updates

Pre-Claim Review Demonstration (PCRD)

The Centers for Medicare & Medicaid Services (CMS) announced that it will expand the controversial Pre-Claim Review Demonstration (PCRD) into its second state, Florida, in April 2017.

The move comes months after further implementation of the demonstration was put on hold. Currently, the program, which requires home health care agencies to submit requests for reimbursement approval much earlier in the care process, is only underway in Illinois.

As we have previously reported, PCRD was designed to eventually reach five states—Illinois, Florida, Texas, Massachusetts, and Michigan—where the highest rates of improper home health payments are reported. We remain concerned that this model may be expanded into other states.

Face-to-Face (F2F) Encounter Probe and Educate

We have also reported that CMS announced Phase 2 of the home health Face-to-Face (F2F) encounter Probe and Educate.

2017 Medicare Home Health Prospective Payment System (HH PPS)

LeadingAge NY posted our analysis of the final rule for the 2017 Medicare HH PPS. Earlier, we reported the major highlights when the final rule was released.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871