NEW HH CoPs: Are you ready?

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NEW HH CoPs: Are you ready?

By: Heather Johnson, VGM Education

The new conditions of participation (CoPs) for home health agencies (HHAs) go into effect on January 13, 2018, following a six month delay from the Centers for Medicare & Medicaid Services (CMS).  The new CoPs revise the current conditions of participation that home health agencies are required to meet in order to participate in Medicare and Medicaid programs.

The rule is the first major revision in the home health CoPs in the last three decades and contains a number of changes that focus on quality of care being delivered by home health providers.  

The new rules include fundamental requirements for home health services including patient rights, comprehensive patient assessment, and patient care planning and coordination by an interdisciplinary team.  The rules require a quality assessment and performance improvement (QAPI) program that will require agencies to implement their own quality management system that will lead to improved patient care.

The HHA CoPs can still be found under 42 CFR part 484, but you will see several of the old requirements under part 484 consolidated, revised or eliminated.   The renaming and numbering of 484 now includes three sections:

A.      General Provisions (484.1-484.2)

B.      Patient Care (Administration) - (484.40-484.80)

C.      Organizational Environment (Furnishing Services) - (484.100-484.115)

Some of the key changes to the CoPs includes the two new requirements, Quality Assessment and Performance Improvement (QAPI) and Infection Control as well as the expansion of patient rights, additional assessment and POC requirements, revised home health aide training and supervision requirements, and additional discharge and transfer summary requirements including time frames.