CMS Home Health Conditions of Participation Related to Coordination of Care

PUBLISHED: Mar 23, 2017

Today’s notice reviews the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) related to coordination of care, which are effective July 13, 2017. CMS issued a final rule governing home health agencies earlier this year; see the StayAlert! Notice published on January 12, 2017 for an overview of that final rule.

CMS Conditions of Participation (484.60(d)) for Home Health Agencies (HHA) requires the HHA to:

  • Assure communication with all physicians involved in the plan of care.
  • Integrate orders from all physicians involved in the plan of care to assure the coordination of all services and interventions provided to the patient.
  • Integrate services, whether services are provided directly or under arrangement, to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines.
  • Coordinate care delivery to meet the patient's needs, and involve the patient, representative (if any), and caregiver(s), as appropriate, in the coordination of care activities.
  • Ensure that each patient, and his or her caregiver(s) where applicable, receive ongoing education and training provided by the HHA, as appropriate, regarding the care and services identified in the plan of care. The HHA must provide training, as necessary, to ensure a timely discharge.

Included with today’s notice is a selection of example policies related to coordination of services in the home care environment. See MCN Healthcare’s newly updated Home Health Policy and Procedure Manual for additional policies.

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