tci Medicare Compliance & Reimbursement - 2011 Issue 16

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

Homebound requirements are actually prohibited in Medicaid. In addition to the home health agency face-to-face Medicaid requirement, the recent proposed rule addresses other points regarding the Medicaid home care benefit: Homebound. The Centers for Medicare & Medicaid Services reiterates its position that being homebound should not be a requirement for the Medicaid home health benefit, particularly in light of the Olmstead Supreme Court decision requiring states to provide services in community settings when possible."This is an important difference in the Medicare and Medicaid benefits," stresses Robert Markette Jr. with Benesch/Dann Pecar in Indianapolis. The difference is "crucial"...

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