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HHS/CMS RIN: 0938-AQ30 Publication ID: Fall 2011 
Title: Home Health Prospective Payment System Refinements and Rate Update for CY 2012 (CMS-1353-F)(Section 610 Review) 
Abstract: This rule updates the 60-day national episode rate (based on the applicable Home Health Market Basket Update and case-mix adjustment) and would also update the national per-visit rates (used to calculate low utilization payment adjustments (LUPAs) and outlier payments) amounts under the Medicare Prospective Payment System for home health agencies. These changes are applicable to services furnished on or after January 1st. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 42 CFR 484    42 CFR 409    42 CFR 424   
Legal Authority: Social Security Act, secs 1102 and 1871    42 USC 1302 and 1395(hh)    Social Security Act, sec 1895    42 USC 1395(fff), PL 111-148 secs 3131, 3401, 6407   
Legal Deadline:
Action Source Description Date
Final  Statutory    11/01/2011 
Timetable:
Action Date FR Cite
NPRM  07/12/2011  76 FR 40988   
NPRM Comment Period End  09/06/2011    
Final Action  11/04/2011  76 FR 68526   
Additional Information: Includes Retrospective Review under E.O. 13563.
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Kelly Horney
Health Insurance Specialist,
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare Management, Mail Stop C5-07-28, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0558
Fax:410 786-0765
Email: kelly.horney@cms.hhs.gov