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CMS Reinforces Prohibition on "Homebound" in Medicaid

Posted on Monday, February 8, 2016 9:10 AM

CMS announced a final rule regarding the homebound prohibition for Medicaid home health services, and clarifying the settings where homebound services may be provided. The ruling revises Medicaid home health regulation with the following information:

  • A Medicaid beneficiary does not need to be “homebound” in order to receive home health services
  • Home health services may be provided in any setting where normal life activities take place, and are not limited to a hospital, nursing facility or other institution

Aging and disability advocates supported the final regulation's codification of agency policy, which comes after over a decade of advocacy for more community-based options for long-term services and supports.

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