Program Memorandum Intermediaries/Carriers ... - …

Program Memorandum Intermediaries/Carriers Transmittal AB-00-65. Department of health and Human Services (DHHS). health CARE. FINANCING. ADMINISTRATION (HCFA). Date: JUNE 2000. CHANGE REQUEST 514. SUBJECT: Business and System Requirements for the Home health Prospective Payment System (HH PPS). This Program Memorandum (PM) identifies business and systems requirements for the implementation of HH PPS. Each requirement specifies an action that must be taken and identifies the primary action agent, although conforming changes for certain actions may be required by additional parties. All changes specified below, with the exception of enhancements detailed in , are effective for home health claims with service dates on or after October 1, 2000. I. Background Information A. Statutory Overview The Balanced Budget Act of 1997 (BBA 97), amended by the Omnibus Consolidated Emergency Supplemental Appropriations Act of 1998 (OCESAA 98) and the Balanced Budget Refinement Act of 1999 (BBRA 99), created a prospective payment system for Medicare home health services (HH PPS) specifying the following affecting claims operations and individual claim payment: Requires payment be made on the basis of a prospective amount Allows the Secretary of the Department of health and Human Services (DHHS) to determine a new unit of payment Requires the new unit of payment to reflect different patient conditi

Program Memorandum Intermediaries/Carriers Transmittal AB-00-65 Department of Health and Human Services (DHHS) HEALTH …

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