OMB Begins Review of Medicare Home Health Reimbursement Proposal
June 11, 2014 11:38 AM
A recent Bloomberg BNA article announced that the Office of Management and Budget (OMB) has received a proposed rule from CMS that would set 2015 payment rates for home health agencies.
According to the article:
“The rule (CMS-1611-P; RIN: 0938-AS14), would update the 60-day national episode rate based on the applicable home health market basket update and case-mix adjustment, the OMB said.
The proposal also would update the national per-visit rates used to calculate low utilization payment adjustments and outlier payments under the Medicare prospective payment system for home health agencies, it added.
The changes would apply to services furnished on or after Jan. 1, 2015. There is no schedule for when the proposal might be released. A final rule is due Nov. 1, the notice said. A proposed rule covering 2014 payments was published in July 2013 (125 HCDR, 6/28/13).
CMS has estimated that about 3.5 million beneficiaries received home health services from nearly 12,000 home health agencies in 2012, costing Medicare about $18.2 billion.”
“This is the normal timetable of such rule. The submission to OMB gives us no detail on content,” said Bill Dombi, NAHC’s Vice President for Law. “We fully expect that the proposed rule will be consistent with the rebasing phase-in from last year as required. That would mean rates that are updated by the inflation index but reduced by $80.95 per episode.”