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HHS/CMS RIN: 0938-AV03 Publication ID: Fall 2023 
Title: CY 2024 Home Health Prospective Payment System Rate Update and Home Infusion Therapy Services Payment Update (CMS-1780)(Completion of a Section 610 Review) 
Abstract:

This annual final rule updates the national, standardized 30-day period payment rate, national per-visit rates used to calculate low utilization payment adjustments (LUPAs) and outlier payments under the Medicare prospective payment system for home health agencies based on the applicable home health payment update percentage. Additionally, this rule updates payment rates for home infusion therapy services and makes changes to the Medicare enrollment requirements for hospices. These changes apply to services furnished on or after January 1, 2024.  This rule also makes changes to how the separate payment for negative pressure wound therapy using a disposable device is made as required by section 4136 of the Consolidated Appropriations Act of 2023 (CAA, 2023), and implements the permanent home intravenous immune globulin services (IVIG) benefit as required by section 4134 of the CAA, 2023. This rule addresses the scope of the Medicare Part B benefit for leg, arm, back, and neck braces under section 1861(s)(9) of the Social Security Act, and newer technology devices, as well as the implementation of the Medicare Part B benefit for lymphedema compression treatment items under section 1861(s)(2) of the Social Security Act.

 
Agency: Department of Health and Human Services(HHS)  Priority: Section 3(f)(1) Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
RFA Section 610 Review: Completion of a Section 610 Review 
CFR Citation: 42 CFR 409    42 CFR 410    42 CFR 414    42 CFR 424    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395(fff)    42 U.S.C. 1395(m)   
Legal Deadline:
Action Source Description Date
Final  Statutory  By statute, rule must be effective by January 1 annually.  01/01/2024 
Timetable:
Action Date FR Cite
NPRM  07/10/2023  88 FR 43654   
NPRM Comment Period End  08/29/2023 
Final Action  11/13/2023  88 FR 77676   
Final Action Effective  01/01/2024 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Brian Slater
Director, Division of Home Health and Hospice
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C4-07-07, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5229
Email: brian.slater@cms.hhs.gov