CMS Issues Medicaid Face to Face Rule
The Centers for Medicare & Medicaid Services (CMS) issued a final rule that would require a face to face encounter for beneficiaries receiving Medicaid home health services, and provides other clarifications and enhancements to the Medicaid program.
The final rule aligns with Medicare timeframes for the face-to-face encounter for home health services and medical supplies, equipment, and appliances. Specifically, the final rule requires that for the initial ordering of home health services the physician must document that a face-to-face encounter that is related to the primary reason the beneficiary requires home health services occurred no more than 90 days before or 30 days after the start of services. For the initial ordering of medical supplies, equipment, or appliances, the physician or authorized NPP must document that the face-to-face encounter occurred no more than six months prior to the start of services. The face-to-face encounter for home health and medical supplies, equipment, and appliances may be performed by the physician or certain authorized NPPs. The rule also provides for the use of telehealth, as defined by the state, for the F2F encounters.
:: Read Full Article