42 CFR Part 484 — Home Health Services
Subpart A — General Provisions
Subpart B — Patient Care
- § 484.40— Condition of participation: Release of patient identifiable OASIS information.
- § 484.45— Condition of participation: Reporting OASIS information.
- § 484.50— Condition of participation: Patient rights.
- § 484.55— Condition of participation: Comprehensive assessment of patients.
- § 484.58— Condition of participation: Discharge planning.
- § 484.60— Condition of participation: Care planning, coordination of services, and quality of care.
- § 484.65— Condition of participation: Quality assessment and performance improvement (QAPI).
- § 484.70— Condition of participation: Infection prevention and control.
- § 484.75— Condition of participation: Skilled professional services.
- § 484.80— Condition of participation: Home health aide services.
Subpart C — Organizational Environment
- § 484.100— Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients.
- § 484.102— Condition of participation: Emergency preparedness.
- § 484.105— Condition of participation: Organization and administration of services.
- § 484.110— Condition of participation: Clinical records.
- § 484.115— Condition of participation: Personnel qualifications.
Subpart E — Prospective Payment System for Home Health Agencies
- § 484.200— Basis and scope.
- § 484.202— Definitions.
- § 484.205— Basis of payment.
- § 484.215— Initial establishment of the calculation of the national, standardized prospective payment rates.
- § 484.220— Calculation of the case-mix and wage area adjusted prospective payment rates.
- § 484.225— Annual update of the unadjusted national, standardized prospective payment rates.
- § 484.230— Low-utilization payment adjustments.
- § 484.235— Partial payment adjustments.
- § 484.240— Outlier payments.
- § 484.245— Requirements under the Home Health Quality Reporting Program (HH QRP).
- § 484.250— OASIS data.
- § 484.260— Limitation on review.
- § 484.265— Additional payment.
Subpart F — Home Health Value-Based Purchasing (HHVBP) Models
- § 484.300— Basis and scope of subpart.
- § 484.305— Definitions.
- § 484.310— Applicability of the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.315— Data reporting for measures and evaluation and the public reporting of model data under the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.320— Calculation of the Total Performance Score.
- § 484.325— Payments for home health services under Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.330— Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.335— Appeals process for the Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.340— Basis and scope of this subpart.
- § 484.345— Definitions.
- § 484.350— Applicability of the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.355— Data reporting for measures and evaluation and the public reporting of model data under the expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.358— HHVBP Measure removal factors.
- § 484.360— Calculation of the Total Performance Score.
- § 484.365— Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.370— Process for determining and applying the value-based payment adjustment under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
- § 484.375— Appeals process for the Expanded Home Health Value-Based Purchasing (HHVBP) Model.