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The Balanced Budget Act of 1997(BBA) mandated the change and development of a new method of payment for Medicare covered home health services. This new method of payment was created and called HHPPS (Home Health Prospective Payment System). Under HHPPS, all home health costs for Medicare covered services including medical supplies are paid using a basic unit of payment known as the 60-Day Episode. The BBA also required annual updates to the HHPPS payments. The BBA applied to all Medicare home health services beginning October 1, 2000. The purpose of this paper is to discuss an overview of the new updated Medicare HH PPS rates for CY 2019. For Medicare covered home health services beginning January 1, 2019, this proposed rule titled "Medicare and Medicaid Programs: CY 2019 Home Health Prospective Payment System Rate Update" discusses the new changes for the HHPPS payment rates. This proposed CY 2019 rule includes the proposed current changes to the 60-day episode payment rates, the national per-visit rates, the non-routine medical supplies (NRS) conversion factor, and case-mix weights. [ABSTRACT FROM AUTHOR]

The Balanced Budget Act of 1997(BBA) mandated the change and development of a new method of payment for Medicare covered home health services. This new method of payment was created and called HHPPS (Home Health Prospective Payment System). Under HHPPS, all home health costs for Medicare covered services including medical supplies are paid using a basic unit of payment known as the 60-Day Episode. The BBA also required annual updates to the HHPPS payments. The BBA applied to all Medicare home health services beginning October 1, 2000. The purpose of this paper is to discuss an overview of the new updated Medicare HH PPS rates for CY 2016. For Medicare covered home health services beginning January 1, 2016, this proposed rule titled "Medicare and Medicaid Programs: CY 2016 Home Health Prospective Payment System Rate Update" discusses the new changes for the HHPPS payment rates. This proposed CY 2016 rule includes the current changes to the 60-day episode payment rates, the national per-visit rates, the non-routine medical supplies (NRS) conversion factor, case-mix weights, and changes to wage-index costs. This proposed rule further discusses the new requirements under the Affordable Care Act regarding rebasing adjustments to the national 60-day episode national standardized rate, the national per-visit rate, the low-utilization payment adjustments, and the non-routine medical supplies conversion factor. [ABSTRACT FROM AUTHOR]

As required by the Balanced Budget Act (BBA) of 1997 and its related amendments, Medicare began to reimburse home health agencies under the new Home Health Prospective Payment System (HHPPS) for services beginning October 1, 2000. Under HHPPS, all home health costs for services including medical supplies are paid using a basic unit of payment known as the 60-Day Episode. The payment amount was calculated using a national standardized rate, adjusted for the home health service case mix and a wage index based on the site of the service. For 60-Day Episodes beginning and ending in 2008, the Medicare HHPPS national standardized rate was updated by a new 153 case mix grouping, and a new non-routine medical supply payment was added to the nationalized standardized rate. For home health services beginning January 1, 2014, the new proposed rule titled "Medicare and Medicaid: Home Health Prospective Payment System Rate Update for CY 2014" (78 Federal Register Vol. 128) discusses the new updates to the HHPPS rates. This rule includes changes to the 60-day episode payment rates, the national per-visit rates, the low-utilization payment adjustment (LUPA) rates, the non-routine medical supplies (NRS) conversion factor, and the add-on LUPA payments. This rule further discusses the new requirements under the Affordable Care Act regarding rebasing adjustments to the national 60-day episode national standardized rate, the national per-visit rate, the low-utilization payment adjustments, and the non-routine medical supplies conversion factor. This paper discusses an overview of these new updated Medicare HHPPS rates for CY 2014. [ABSTRACT FROM AUTHOR]