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Home Health, Hospice & Durable Medical Equipment Open Door Forum

Overview:

The Home Health, Hospice & Durable Medical Equipment Open Door Forum (ODF) addresses the concerns of three unique health care areas within the Medicare & Medicaid programs. Issues related to Home Health PPS, the newly proposed competitive bidding for DME and the Medicare Hospice benefit are all topics the forum has covered. Many of the issues covered bridge concerns within all three settings and the combination of the topics under one Forum has been useful to many participants. We continue to hold Special ODFs when individual policy issues require special attention. Timely announcements and clarifications regarding important rulemaking, agency program initiatives and other related areas are also included in the forums.

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**Updated: July 13, 2018 - Special Open Door Forum (SODF): The IMPACT Act and Standardized Patient Assessment Data Elements, Wednesday, July 25, 2018 from 2:00-3:00pm Eastern Time. This SODF will provide information and solicit feedback pertaining to the Standardized Patient Assessment Data Elements (SPADE) work under the Improving Medicare Post-Acute Care Transformation Act of 2014 (commonly referred to as the IMPACT Act). This SODF will provide an update on the recent SPADE activities including progress on national field test data collection, early feedback from providers participating in the beta data collection, and upcoming stakeholder engagement activities that will help stakeholders remain engaged and informed during the upcoming year. We invite questions, comments, and ideas from providers, patients, consumers, researchers, and advocates in advance or during the Forum. Please submit questions, comments, and ideas to: PACQualityInitiative@cms.hhs.gov. The presentation is posted on the IMPACT Act Downloads and Videos webpage. We look forward to your participation. If you wish to participate, dial: 1- 800-857-1738 & Conference ID: 7785347. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

**Additional Updated: July 11, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs), Draft Release 2, Thursday, July 12, 2018 from 2:00-3:00pm Eastern Time. To allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on Draft Release 2 of the Home Health Templates and CDEs that are posted on the CMS.gov website. CMS held a SODF for Home Health Templates and CDEs on March 1, 2018. The updates reflected in Draft Release 2 are a result of the comments and recommendations that CMS received following the previous SODF. The updated printable clinical templates and suggested CDEs describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Home Health Services as follows: 1. Plan of Care & Certification, and 2. Face-to-Face Encounter. The updated Draft Release 2 Home Health Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-home-health.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide, but every section may not apply to all types of patients’ services. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. To better assist providers in medical record documentation, for Medicare Fee for Service purposes, CMS has developed lists of clinical elements within a printable clinical template. This development will allow EHR vendors to create prompts to assist the practitioner when documenting. These Home Health Templates and CDEs are some of the first of many on the list of topics that CMS is currently working to address. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-(800)-857-1738 & Conference ID: 7785347. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

**Updated July 11, 2018 (New Conference ID Number and Updated Agenda)- The proposed agenda for the next Home Health, Hospice & DME/Quality Open Door Forum is scheduled for Wednesday, July 11, 2018 at 2:00pm is as follows: Announcements & Updates; MLN article SE 18007 - Recent and Upcoming Improvements in Hospice Billing and Claims Processing: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE18007.pdf; Hospice Quality and CAHPS Survey Announcements; Home Health CAHPS Survey (HHCAHPS) Announcements; CY 2019 Home Health Prospective Payment System Proposed Rule – Home Health Provisions: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/Home-Health-Prospective-Payment-System-Regulations-and-Notices-Items/CMS-1689-P.html; Proposed Changes to the Home Health Prospective Payment System for CY 2019; Proposed Changes to the Home Health Prospective Payment System for CY 2020; Proposed Changes to the Home Health Quality Reporting Program; Proposed Changes to the Home Health Value-Based Purchasing Model; CY 2019 Home Health Prospective Payment System Proposed Rule – Home Infusion Provisions: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/Home-Health-Prospective-Payment-System-Regulations-and-Notices-Items/CMS-1689-P.html : Temporary Transitional Payments for Home Infusion Therapy Services in CYs 2019 and 2020; Proposed Health and Safety Standards for Home Infusion Therapy Suppliers Beginning in CY 2021; Proposed Accreditation and Oversight Process of Home Infusion Therapy Suppliers Beginning in CY 2021. If you wish to participate, dial 1-877-917-2510. Conference ID: 2899697. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated, June 22, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs) for Vitamin and Metabolic Assays, Tuesday, June 26, 2018 from 2:00-3:00pm Eastern Time. To allow physicians, providers, clinical laboratories, professional associations, and/or all other interested parties to provide feedback on the templates and CDEs drafted for Vitamin and Metabolic Assays that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs listed below, which describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Vitamin and Metabolic Assays, are as follows: 1. Order, and 2. Progress Note. The Clinical Templates and CDEs will be available on the CMS.gov website just prior to the SODF, and can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates.html. Providers, clinical laboratories, and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide but every section may not apply to all patients’ ordered laboratory services. Providers and laboratories can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. We look forward to your participation. If you wish to participate, dial: 1-080-837-1935 & Conference ID: 8085986. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

**Updated, June 8, 2018 - Special Open Door Forum (SODF): Templates and Clinical Data Elements (CDEs) for Therapeutic Shoes for Persons with Diabetes, Tuesday, June 12, 2018 from 2:00-3:00pm Eastern Time. To allow physicians, provider and supplier professional associations, and/or all other interested parties to provide feedback on the templates and CDEs for Therapeutic Shoes for Persons with Diabetes that are posted on the CMS.gov website. The printable clinical templates and suggested CDEs listed below describe the data elements that CMS believes would be useful in supporting the documentation requirements for coverage of Therapeutic Shoes for Persons with Diabetes as follows: 1. Order, 2. Progress Note, and 3. Statement of Certifying Physician. The Clinical Templates and CDEs are available on the CMS.gov website which can be accessed through the link below: https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/DMEPOS-Templates/DMEPOS-Templates.html. Providers and IT vendors can choose whether or not to use the printable clinical templates and/or the suggested CDEs. The suggested CDEs aren't a form, but a tool that IT vendors can integrate into electronic health record (EHR) systems to create prompts to assist providers with their medical record documentation for Medicare purposes. The templates and CDEs are intended to be a helpful guide but every section may not apply to all patients’ services and/or DMEPOS. Providers can choose the information or CDEs that do apply. Once completed by the physician or other practitioner, the resulting documentation would become part of the medical record. Feedback and questions on our drafts can be sent to: clinicaltemplates@cms.hhs.gov. If you wish to participate, dial: 1-080-837-1935 & Conference ID: 7489855. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.

**Updated May 11, 2018 - The proposed agenda for the next Home Health, Hospice & DME/Quality Open Door Forum is scheduled for Tuesday, May 15, 2018 at 2:00pm is as follows: Announcements & Updates; FY 2019 Hospice Payment Update; Proposed regulations text changes recognizing physician assistants (PAs) as designated hospice attending physicians; Hospice QRP announcements; HH QRP Website Recent Updates; Announcement of June 27 MLN call on Star Ratings Updates on Hospice CAHPS: For technical assistance, contact the CAHPS Hospice Survey Project Team: hospicecahpssurvey@HCQIS.org  or 1-844-472-4621; To communicate with CMS staff about implementation issues: hospicesurvey@cms.hhs; Updates on Home Health CAHPS: For technical assistance, contact the HHCAHPS Coordination Team: HHCAHPS@rti.org or call 1-(866) 354-0985; To communicate with CMS staff about implementation issues: homehealthcahps@cms.hhs.gov; Hospice Claims Processing Update; Home Health Claims Processing Update. If you wish to participate, dial 1-800-837-1935 Conference ID: 33245710. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

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