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Home Health Agency (HHA) Center


  • Register for the February 12, 2019 Home Health Patient-Driven Groupings Model MLN Call
    • During this call, learn about the Patient-Driven Groupings Model (PDGM) that will be implemented on January 1, 2020. The PDGM is a case-mix adjustment methodology that will adjust home health payments, based on patient characteristics for 30-day periods of care, to home health agencies providing home health services under Medicare Fee-For-Service.
    • For more information, visit the 2-12-19 call detail webpage.
    • CMS-1689-F

    Home Health, Hospice and DME Open Door Forum

    Physician Certification of Patient Eligibility for the Medicare Home Health Benefit

    • MLN Matters® SE1436: Certifying Patients for the Medicare Home Health Benefit

    • MLN Connects™ National Provider Call - Certifying Patients for the Medicare Home Health Benefit (December 16, 2014). This MLN Connects™ National Provider Call provided an overview of certifying patient eligibility for the Medicare home health benefit. This included a summary of the new requirement for HHAs to obtain documentation from the certifying physician's and/or the acute/post-acute care facility's medical record for the patient that served as the basis for the certification of patient eligibility, which was finalized in the Calendar Year 2015 Home Health Prospective Payment System (HH PPS) final rule (CMS-1611-F) and effective for episodes of care beginning on or after January 1, 2015. For links to the presentation, examples, and transcripts, visit this MLN Connects™ National Provider Call web page.

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    For questions about home health payment policy, send your inquiry via email to:


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