Effective Date for the New Therapy Reassessment Requirement Corrected
December 3, 2014 09:57 AM
The Centers for Medicare & Medicaid Services (CMS) has issued an official correction to the effective date for the revised therapy reassessment requirement.
The final rule for the CY 2015 Home Health Prospective Payment System (HHPPS) Rate Update contained an inconsistency error whereby CMS stated two different time points for when the new therapy reassessment requirement would be effective.
CMS, in their final decision, stated that the changes were effective for episodes ‘‘ending’’ on or after January 1, 2015. However, in the comment response prior to the final decision discussion, CMS stated that the new therapy reassessment requirement will apply to episodes that begin on or after January 1, 2015. CMS clarifies in the federal register notice that they intended for the therapy reassessment changes finalized in the regulations at § 409.44 to be effective for episodes ‘‘beginning’’ on or after January 1, 2015.
CMS revised their complex therapy reassessment requirement, which requires that a qualified therapist functionally reassess the patient prior to, but no later than, the 13th and 19th therapy visit and at least every 30 days, to a more simplified reassessment requirement. For episodes that begin on or after January 1, 2015, at least every 30 days a qualified therapist must provide the needed therapy service and functional reassessment of the patient. Where more than one discipline of therapy is being provided, a qualified therapist from each of the disciplines must provide the needed therapy service and functionally reassess the patient at least every 30 days.
To view the correction notice, please click here.