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Ex. SEC-04-017 Order Primary source read

CMS-1744-IFC, 85 Fed. Reg. 19230

Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

Centers for Medicare & Medicaid Services · United States (Federal)

The COVID Project

The record

Jurisdiction
United States
Level
Federal
Authority
Social Security Act 1135, 1861(m), 1814(a)(7); CARES Act 3708; interim final rule
Issued
2020-04-06 Apr. 6, 2020
Effective
2020-03-01 (retroactive) / 2020-03-31 (read as 2020-03-01)
End
PHE (several provisions made permanent) (read as 2021-09-30)
In force
Mar. 1, 2020 to Sept. 30, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Limitation types
Health care ordersOther
Addressees
  • HHAs
  • hospices
  • physicians and practitioners
Functions reached
  • HC
  • SN remote visits not billable as visits
  • IN certification and face-to-face rules
  • CB homebound population enlarged by order
  • OF billing
Collection
Home Care, Nursing and Senior Living SEC-04

Operative words

Home health agencies... may furnish services using telecommunications technology... as long as such services do not substitute for in-person visits ordered on the plan of care... Clarification of Homebound Status... a beneficiary is considered homebound if... a physician has determined that it is medically contraindicated for the beneficiary to leave the home because he or she has a confirmed or suspected diagnosis of COVID-19 [or a condition making the beneficiary more susceptible]... Hospice:... the face-to-face encounter... may be conducted via telehealth... (as read).

Enforcement

Medicare payment conditions

Notes

Companion to the 1135 waivers; the telecommunications rule bars billing a remote contact as a visit.