Review Choice Demonstration for Home Health Services

On April 1, 2017, CMS paused the Pre-Claim Review Demonstration for Home Health Services to consider a number of changes in response to stakeholder feedback. On May 29, 2018, CMS first announced our intention to implement the Review Choice Demonstration for Home Health Services through a PRA notice and sought initial public comments. On September 27, 2018, CMS published responses to initial comments and a subsequent PRA notice, and provided the public another opportunity to comment on CMS’ efforts to collect information on the revised demonstration. The second public comment period ended October 29, 2018. The published responses and additional information on the demonstration design are available here.

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Becky Crabtree
Bipartisan Budget Act of 2018 was passed by Congress in February. The Act includes changes that directly impact hospice providers.

PHYSICIAN ASSISTANTS (PA) will be allowed to act as the attending physician for patients in hospice care. Currently a patient can only elect a nurse practitioner (NP), or a doctor of medicine (MD) or osteopathy (DO) as their attending physician. This amendment to the law provides an increase in continuity of care to those individuals who utilized a PA prior to electing hospice care.  

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Mark Song