Agencies
Services
Home Health Claims with Dates of Service on or After 7/1/14 Temporarily Held
HFS System Issue:
Home Health Claims with dates of service on or after 07/01/14 will be temporarily held while programming changes are made.
Problem:
As a result of a change in statute, rates for certain home health services are increasing effective 07/01/14. The fee schedule can be viewed at:
To avoid underpayments to providers, a hold has been placed on all Home Health Services claims to allow for programming changes.
In addition, as of July 1, 2014, the SMART Act 2.7% reimbursement rate reduction no longer applies to: intermittent home health visits, and to hourly shift services provided by a CNA.
Providers Impacted:
Home Health Agencies, Home Nursing Agencies, Certified Health Departments
Procedure Codes Impacted:
G0151, G0152, G0153, G0154, and G0156
Problem Begin Date:
Claims with dates of service on or after 07/01/14
Problem Fix Date:
August 25, 2014
Resolution for Impacted Claims:
Claims have been released.