Directors' Memo

Care At Home I/II Changes in Services and Transition to Managed Care

Jul 13, 2017 — The request to renew the Care at Home (CAH) I/II Waiver Program has been approved by CMS effective April 1, 2017. The approved application includes language indicating that the waiver will transition into managed care on January 1, 2018. The approved renewal changes some of the services provided under this waiver. Here are the major... Read More

New Advanced Beneficiary Notice Required

Jul 13, 2017 — Hospice and home health providers are now required to use the updated Fee for Service Advanced Beneficiary Notice of Noncoverage. The form has not been substantially changed; however, beneficiaries are now notified of their rights in accordance with Section 504 of the Rehabilitation Act of 1973 to CMS nondiscrimination practices. Additionally, beneficiaries may request the... Read More

June 30th is Last Day to Review Preview Report Data

Jun 29, 2017 — As we previously reported, this summer CMS will begin publicly posting data obtained from HIS reports submitted for Quarter 4-2015 to Quarter 3-2016. You can review your Provider Preview reports in the Certification and Survey Provider Enhanced Reports (CASPER) system. The data reflected in the Provider Preview Reports is currently “frozen” but hospices may continue to submit corrections and additions... Read More

Payroll Contributions for Paid Family Leave Can Begin July 1

Jun 28, 2017 — Beginning January 1, 2018, the state’s paid family leave program will take effect and will take four years to be fully phased in. Under the program, employees who are employed for at least six months will be eligible to earn up to 50% of their average weekly wage — not to exceed 50% of the... Read More

e-Prescribing Blanket Waiver Extended

Jun 27, 2017 — For those providers whose in-patient units and/or residences received a waiver of the electronic prescribing requirements of Public Health Law (PHL) § 281 and Education Law § 6810, for nursing homes and residential health care facilities, please be advised that the blanket waiver has been extended to October 31, 2018. Those unable to meet this... Read More

New York State Legislative Session Wrap Up

Jun 23, 2017 — New York’s 2017 Legislative Session adjourned on Wednesday, June 21. One big issue left up in the air is an agreement on extending New York City mayoral control of the school system. With this issue undecided, it is more than likely that the Legislature will return at some point prior to the end of the... Read More

2018 Hospice Proposed Wage Index Comments Due Monday!

Jun 23, 2017 — We strongly urge you to submit comments to the Centers for Medicare & Medicaid Services (CMS) on the 2018 Hospice Wage Index Proposed Rule. Comments are due by close of business, Monday, June 26, 2017. The Proposed Rule can be found in the Federal Register. HPCANYS Federal Legislative/Regulatory Committee has been hard at work crafting a... Read More

Federal Issues Notification

Jun 15, 2017 — New OIG Active Work Plan Item Targets Hospice Today, the Office of the Inspector General (OIG) announced that they were beginning work on a new report, “Trends in Hospice Deficiencies and Complaints.” In light of previous OIG reports identifying “vulnerabilities” and raising concerns about limited enforcement actions against poorly performing hospices, this report will examine... Read More

Public Reporting of Hospice Data: Preview and Correct Your Reports Now!

Jun 5, 2017 — As we previously reported, this summer CMS will begin publicly posting data obtained from HIS reports submitted for Quarter 4- 2015 to Quarter 3-2016. You can review your Provider Preview reports in the Certification and Survey Provider Enhanced Reports (CASPER) system. The data reflected in the Provider Preview Reports is currently “frozen” but hospices may continue... Read More

Adjustments to Certain Claims with Outstanding SIA and RHC Payment Errors

Jun 1, 2017 — After CMS adopted a new payment model in 2016, establishing a two-tiered Routine Home Care (RHC) reimbursement methodology and initiating a Service Intensity Add-on (SIA) for professional visits in the last seven days of life, the claims processing system encountered a few challenges. Many of these reimbursement errors have been corrected via mass adjustments of... Read More