Newest Homecare Medicaid Regulations and Forms

(From the August 2018 Issue of MedStat)

This year the Centers for Medicare and Medicaid Services (CMS) instituted significant revisions to the conditions of participation (CoPs) that home health agencies are required to implement in order to participate as a Medicaid provider.

CMS requires Homecare provide a comprehensive approach to coordination of care and must:

  1. Assure communication with all physicians involved in the plan of care.
  2. Integrate orders from all physicians involved in the plan of care to assure the coordination of all services and interventions provided to the patient.

This expectation requires Homecare clinicians and staff communicate with referring physicians more often in order to provide the expected patient-centered, interdisciplinary approach to care.

Help us keep Homecare compliant and always provide physician signatures at the point of referral.

  • Physician signatures are required on verbal orders, including supplemental or prn, and the Plan of Care (POC) Form.
  • Physician review and signature on revision of the plan of care. The individualized plan of care must be reviewed and revised by the physician who is responsible for the home health plan of care and the HHA as frequently as the patient’s condition or needs require, but no less frequently than once every 60 days, beginning with the start of care date.

The most recent referral forms and links to more information are available at NationwideChildrens.org/Homecare. Questions? Contact Carolyn.Figi@NationwideChildrens.org.