The Centers for Medicare & Medicaid Services (CMS) announced the revised home health face-to-face encounter requirements for certifying Medicare home health patients as of January 1, 2015.

  • The narrative requirement will no longer be required for initial certifications.
  • Face-to-face forms are still required to be signed and will be sent.
  • We ask that all face-to-face forms and plans of care are kept in the patient’s record with the physician.
  • All other aspects of the face-to-face encounter are still required, such as:

– It must occur no earlier than 90 days prior to or 30 days after the start of care.

– The encounter is related to the primary reason for home health service.

– It is performed by a physician or an allowed non-physician practitioner.

CMS will apply the face-to-face encounter requirements anytime a new patient has a new start of care.

To view the CMS’s presentation on the changes, go to:

http://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2014-12-16-HHBenefit-HL.pdf