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CMS Manual System
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-02 Medicare Benefit Policy Centers for Medicare & Medicaid Services (CMS) Transmittal 265 Date: January 10, 2020 Change Request 11577 SUBJECT: Manual Updates Related to Calendar Year (CY) 2020 Home Health Payment Policy Changes, Maintenance Therapy, and Remote Patient Monitoring I. SUMMARY OF CHANGES: This Change Request (CR) updates the Medicare Benefit Policy Manual , (Publication 100-02), Chapter 7, to reflect policy changes finalized in the CY 2019 and 2020 Home Health Prospective Payment System (HH PPS) Final Rules with comment period (83 FR 56406 and 84 FR 60478). Specifically, these Manual updates reflect policies related to the implementation of the Patient-Driven Groupings Model, a change to a 30-day unit of payment, changes to split-percentage payments, changes to the provision of maintenance therapy, and the definition of remote patient monitoring. EFFECTIVE DATE: January 1, 2020 *Unless otherwise specified, the effective date is the date of service.
While a therapist assistant is able to perform restorative therapy under the Medicare home health benefit, the regulations at § 409.44(c)(2)(iii)(C) state that only a qualified therapist, and not an assistant, can perform maintenance therapy. In the CY 2020 HH Prospective Payment System Final Rule with comment period
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