42 CFR Part 484
PART 484—HOME HEALTH SERVICES
- PART 484—HOME HEALTH SERVICES
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter G—Standards and Certification
- Subpart A—General Provisions
- § 484.1 Basis and scope.
- § 484.2 Definitions.
- Subpart B—Patient Care
- § 484.40 Condition of participation: Release of patient identifiable OASIS information.
- § 484.45 Condition of participation: Reporting OASIS information.
- § 484.50 Condition of participation: Patient rights.
- § 484.55 Condition of participation: Comprehensive assessment of patients.
- § 484.58 Condition of participation: Discharge planning.
- § 484.60 Condition of participation: Care planning, coordination of services, and quality of care.
- § 484.65 Condition of participation: Quality assessment and performance improvement (QAPI).
- § 484.70 Condition of participation: Infection prevention and control.
- § 484.75 Condition of participation: Skilled professional services.
- § 484.80 Condition of participation: Home health aide services.
- Subpart C—Organizational Environment
- § 484.100 Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients.
- § 484.102 Condition of participation: Emergency preparedness.
- § 484.105 Condition of participation: Organization and administration of services.
- § 484.110 Condition of participation: Clinical records.
- § 484.115 Condition of participation: Personnel qualifications.
- Subpart D [Reserved]
- Subpart E—Prospective Payment System for Home Health Agencies
- § 484.200 Basis and scope.
- § 484.202 Definitions.
- § 484.205 Basis of payment.
- § 484.215 Initial establishment of the calculation of the national, standardized prospective payment rates.
- § 484.220 Calculation of the case-mix and wage area adjusted prospective payment rates.
- § 484.225 Annual update of the unadjusted national, standardized prospective payment rates.
- § 484.230 Low-utilization payment adjustments.
- § 484.235 Partial payment adjustments.
- § 484.240 Outlier payments.
- § 484.245 Requirements under the Home Health Quality Reporting Program (HH QRP).
- § 484.250 OASIS data.
- § 484.260 Limitation on review.
- § 484.265 Additional payment.
- Subpart F—Home Health Value-Based Purchasing (HHVBP) Models
- HHVBP Model Components for Competing Home Health Agencies Within State Boundaries for the Original HHVBP Model
- § 484.300 Basis and scope of subpart.
- § 484.305 Definitions.
- § 484.310 Applicability of the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.315 Data reporting for measures and evaluation and the public reporting of model data under the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.320 Calculation of the Total Performance Score.
- § 484.325 Payments for home health services under Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.330 Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.335 Appeals process for the Home Health Value-Based Purchasing (HHVBP) Model.
- HHVBP Model Components for Competing Home Health Agencies (HHAs) for HHVBP Model Expansion—Effective January 1, 2022
- § 484.340 Basis and scope of this subpart.
- § 484.345 Definitions.
- § 484.350 Applicability of the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.355 Data reporting for measures and evaluation and the public reporting of model data under the expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.358 HHVBP Measure removal factors.
- § 484.360 Calculation of the Total Performance Score.
- § 484.365 Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.370 Process for determining and applying the value-based payment adjustment under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.375 Appeals process for the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
Feedback