Our Products can help your organization stay educated and compliant. Shop Now >


CMS Answers Questions on Provisional Enhanced Oversight of New Home Health Agencies

Posted on Sunday, March 31, 2019 8:49 PM

Recently, CMS announced that new Home Health Agencies (HHA) would be subject to a provisional period of enhanced oversight.  This period will put the HHA on RAP suppression from 30 days to one year.  Below is the clarification NAHC received on specific questions and concerns they had.

How is new enrolling HHA defined?

A new enrolling HHA and HHA’s undergoing a change of ownership (CHOW) and/or 100% CHOW.  This applies to new HHAs that will be issued an approval or approval recommendation letter with a date on or after March 7, 2019.

Will the RAP suppression apply in a CHOW situation where the buyer accepts the provider agreement of the purchased agency (i.e. no change in CCN)?

CMS: RAP suppression may apply to both CHOW scenarios. The HHA will be notified in the approval letter by the MAC.

What criteria will be used to remove an agency from the enhanced oversight (RAP suppression)?

CMS: Under the enhanced oversight authority there is no required criteria for the removal of the RAP suppression other than the up to 1 year maximum. CMS will review all factors when establishing the enhanced oversight period and apply discretion on a case by case basis if less than 1 year is determined.

Source: NAHC

About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back