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CMS Manual System
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-08 Medicare Program Integrity Centers for Medicare & Medicaid Services (CMS) Transmittal 602 Date: July 10, 2015 Change Request 9189 SUBJECT: medical Review of Home Health Services I. SUMMARY OF CHANGES: Revision to medical Review of Home Health Services. The purpose of this Change Request (CR) is to manualize policies in the calendar year 2015 Home Health P rospective Payment System Final Rule published on November 6, 2014, in which the Centers for Medicare & Medicaid Services finalized clarifications and revisions to policies regarding physician certification and recertification of patient eligibility for Medicare home health services. EFFECTIVE DATE: August 11, 2015 *Unless otherwise specified, the effective date is the date of service.
Number Requirement Responsibility A/B MAC DME MAC Shared-System Maintainers Other A B HHH FISS MCS VMS CWF 9189.1 For all medical necessity reviews,
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