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This final rule revises the Medicaid home health service definition consistent with the Affordable Care Act and the Medicare Access and CHIP Reauthorization Act (MACRA) to add requirements that, for home health services, physicians document, and for certain medical equipment, physicians or certain authorized non-physician practitioners document the occurrence of a face-to-face encounter (including through the use of telehealth) with the Medicaid eligible beneficiary within reasonable timeframes.  This rule also aligns the timeframes for the face-to-face encounter with similar regulatory requirements for Medicare home health services.  In addition, this rule amends home health services regulations to clarify the definitions of medical supplies, equipment, and appliances and codifies existing policies.  Specifically, that items and services that meet the criteria for coverage under the home health benefit must be covered according to home health coverage parameters; and States may not limit home health services to services delivered only in the home, or to services furnished to beneficiaries who are homebound.