Home Health Regulations: Don't Forget That Medicare, Medicaid Are Very Different

Article Overview

This article reviews Medicaid home health regulation changes and clarifications in the context of broader Medicare policy differences. It is aimed at home health agencies, compliance teams, and coders who need to distinguish Medicare and Medicaid rules when evaluating admissions, documentation, and service delivery requirements. The discussion highlights federal guidance from CMS, the role of the Affordable Care Act in face-to-face encounter policy for durable medical equipment, and the impact of the Olmstead decision on community-based service delivery.