0938-AS14 201410 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS CY 2015 Home Health Prospective Payment System Refinements and Rate Update (CMS-1611-F)

This final rule updates the Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60 day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective January 1, 2015. As required by the Affordable Care Act, this rule implements the second year of the 4-year phase-in of the rebasing adjustments to the HH PPS payment rates. This rule provides information on our efforts to monitor the potential impacts of the rebasing adjustments and the Affordable Care Act mandated face-to-face encounter requirement. This rule also finalizes: changes to simplify the face-to-face encounter regulatory requirements; changes to the HH PPS case-mix weights; changes to the home health quality reporting program requirements; changes to simplify the therapy reassessment timeframes; a revision to the Speech-Language Pathology (SLP) personnel qualifications; minor technical regulations text changes; and limitations on the reviewability of the civil monetary penalty provisions. Finally, this rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of ICD-10-CM, and a HH value-based purchasing (HH VBP) model.

]]> Economically Significant Previously Published in The Unified Agenda Completed Actions Yes No 42 CFR 409 42 CFR 424 42 CFR 484 42 CFR 488 42 CFR 498 Social Security Act, secs 1102 and 1871 42 USC 1302 and 42 USC 1395(hh) Social Security Act, sec 1895 42 USC 1395(fff) Statutory Final 11/01/2014 No NPRM 07/07/2014 79 FR 38366 NPRM Comment Period End 09/02/2014 Final Action 11/06/2014 79 FR 66032 Final Action Effective 01/01/2015 No Businesses Federal State No No No No Hillary Loeffler Director, Division of Home Health and Hospice 0938 Centers for Medicare & Medicaid Services CMS 410 786-0456 hillary.loeffler@cms.hhs.gov Center for Medicare, MS: C5-08-28, 7500 Security Boulevard, Baltimore MD 21244