Initial Enrollments and Changes of Ownership Impacted by Home Health Medicare Enrollment Rule Changes

In the 2011 Home Health Prospective Payment System Rate Update Rule, the Centers for Medicare & Medicaid Services (CMS) modified home health agency (HHA) Medicare provider enrollment provisions in two important ways. First, it extended the amount of time that a Medicare-certified HHA must meet initial capitalization requirements. Second, it narrowed the scope of business transactions that are subject to the so-called 36-Month Rule, which causes the deactivation of an HHA’s Medicare billing entitlements upon the occurrence of certain HHA ownership transfers that occur within three years of the last ownership change. Initial Enrollments and Changes of Ownership Impacted by Home Health Medicare Enrollment Rule Changes. ...

Read the full announcement: The RAP Sheet, American Health Lawyers Association Regulation, Accreditation, and Payment Practice Group, March 2011

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