CMS Lifts Home Health Moratoria in FL, TX, MI & IL

According to the Centers for Medicare & Medicaid Services (CMS), “As of January 30, 2019, there are no active Medicare Provider Enrollment Moratoria in any State or U.S. territories.”  CMS announced Wednesday that the provider enrollment moratoria on home health agencies in Illinois, Michigan, Texas, and Florida have expired. The notice from CMS can be read here.

ACHC is able to expeditiously conduct an Initial Medicare Certification Survey for home health agencies (HHAs) in these states. An organization may apply for accreditation if the following eligibility requirements are met.

The organization must:

  1. Be currently operating within the United States and/or its territories.
  2. Be licensed according to applicable state and federal laws and regulations and maintain all current legal authorization to operate.
  3. Have completed the Medicare Enrollment Application Form CMS-855A and had this form verified by the assigned Medicare Administrative Contractor (MAC), if applicable.
  4. Have established policies and procedures.
  5. Have successfully completed a test Outcome and Assessment Information Set (OASIS) transmission to the state repository, if applicable.
  6. Have met capitalization requirements, if applicable.
  7. Occupy a building in which services are provided/coordinated that is identified, constructed, and equipped to support such services.
  8. Clearly define the services it provides directly or under contract.
  9. Submit all required documents and fees to ACHC within specified time frames.
  10. Be providing home health nursing and at least one qualifying therapeutic service.
    1. The qualifying therapeutic services include physical therapy, speech therapy, occupational therapy, medical social services, and home health aide (Reference in Centers for Medicare and Medicaid Services (CMS) 42 CFR 484.105(f).
    2. A Distinction is a non-qualifying therapeutic service.
  11. Have provided care to a minimum of 10 patients requiring skilled care (not required to be Medicare patients). At least seven of the 10 required patients are receiving skilled care from the Home Health Agency (HHA) at the time of the initial Medicare survey. If the HHA is not able to meet the minimum number of patients required, the initial survey will not be conducted. If the HHA is located in a medically underserved area, they can contact the CMS Regional Office (RO). If the CMS RO determines that the HHA is located in a medically underserved area, the CMS RO may reduce the minimum number of patients from 10 to five. At least two of the five required patients should be receiving skilled care from the HHA at the time of the initial Medicare survey. It is the organization’s responsibility to notify ACHC if it is located in an underserved area.

 

For more information call (855) 937-2242 ext. 457

ACHC Offers Accelerated Sleep Lab Accreditation

Big news in the sleep world has many providers wide awake. Recent changes to Medicare coverage policies for sleep studies will require sleep-specific accreditation for providers in 13 states. And it’s happening soon.

Effective June 5, 2017, sleep lab facilities in Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming and certain U.S. territories will have to have sleep-specific accreditation to be eligible for coverage.

To assist facilities in meeting this deadline, ACHC is offering accelerated sleep lab accreditation.

To start the process, you will need to submit an application (available in your Customer Central account) and a $1,500 nonrefundable deposit. Your contract will then be emailed to you by your Account Advisor. Next, you will need to complete an Accelerated Sleep Accreditation Preliminary Evidence Report (PER) Checklist in which you acknowledge that the requirements of the PER Checklist have been met and the required items have been submitted for clinical review.

In order for ACHC to issue a subsequent approval letter and certificate, all submitted PER items must go through a successful clinical desk review and we must have the following items:

  • Signed contract
  • Payment in full

The approval letter will grant you accreditation for one year. ACHC will then work with you to schedule an on-site survey as quickly as possible. Once ACHC has completed the site visit, you will receive an updated accreditation certificate that will expire three years from the original accreditation date.
Please call us at (855) 937-2242 or email customerservice@achc.org to learn more.