CMS Puts the Brakes on Unpopular ‘Pre-Claim’ Demonstration, Delays Conditions of Participation Update for Home Health

CMS Puts the Brakes on Unpopular ‘Pre-Claim’ Demonstration, Delays Conditions of Participation Update for Home Health

Good news for home health agencies (HHAs) and the physical therapists who work in those settings: the Centers for Medicare and Medicaid Services (CMS) is suspending its plans to expand a required pre-claim review process and is putting its sole demonstration on hold in Illinois for at least 30 days. The agency has also decided to hold off on implementing revisions to conditions of participation for HHAs.

The announcement from CMS arrived just as the agency was scheduled to include Florida as the second state in a 5-state audition of a system requiring HHAs to submit supporting documentation for services while beneficiaries are receiving care. The proposal was largely opposed by HHA organizations, who view the requirement as an excessive administrative burden. CMS announced the suspension on March 31, 1 day before HHAs in Florida were set to begin the pre-claim demonstration.

Full story of a required pre-claim review process at APTA

ByFlex Therapist

FlexTherapist CEUs provides professional online training to Physical Therapists and Physical Therapist Assistants. Our courses are approved by boards throughout the United States for CE renewal. We blog about news and research related to the field of physical therapy that will keep licensed professionals informed.