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[A2]
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Electronic Code of Federal Regulations
| e-CFR data is current as of April 24, 2020
TITLE 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) SUBCHAPTER G—STANDARDS AND CERTIFICATION PART 484—HOME HEALTH SERVICES
Subpart A—GENERAL PROVISIONS
Subpart B—PATIENT CARE
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| Condition of participation: Release of patient identifiable OASIS information. |
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| Condition of participation: Reporting OASIS information. |
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| Condition of participation: Patient rights. |
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| Condition of participation: Comprehensive assessment of patients. |
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| Condition of participation: Discharge planning. |
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| Condition of participation: Care planning, coordination of services, and quality of care. |
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| Condition of participation: Quality assessment and performance improvement (QAPI). |
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| Condition of participation: Infection prevention and control. |
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| Condition of participation: Skilled professional services. |
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| Condition of participation: Home health aide services. |
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Subpart C—ORGANIZATIONAL ENVIRONMENT
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| Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients. |
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| Condition of participation: Emergency preparedness. |
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| Condition of participation: Organization and administration of services. |
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| Condition of participation: Clinical records. |
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| Condition of participation: Personnel qualifications. |
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Subpart D—[RESERVED]
Subpart E—PROSPECTIVE PAYMENT SYSTEM FOR HOME HEALTH AGENCIES
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| Initial establishment of the calculation of the national, standardized prospective payment rates. |
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| Calculation of the case-mix and wage area adjusted prospective payment rates. |
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| Annual update of the unadjusted national, standardized prospective payment rates. |
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| Low-utilization payment adjustments. |
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| Partial payment adjustments. |
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| Requirements under the Home Health Quality Reporting Program (HH QRP). |
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Subpart F—HOME HEALTH VALUE-BASED PURCHASING (HHVBP) MODEL COMPONENTS FOR COMPETING HOME HEALTH AGENCIES WITHIN STATE BOUNDARIES
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| Basis and scope of subpart. |
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| Applicability of the Home Health Value-Based Purchasing (HHVBP) Model. |
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| Data reporting for measures and evaluation and the public reporting of model data under the Home Health Value-Based Purchasing (HHVBP) Model. |
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| Calculation of the Total Performance Score. |
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| Payments for home health services under Home Health Value-Based Purchasing (HHVBP) Model. |
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| Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model. |
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| Appeals process for the Home Health Value-Based Purchasing (HHVBP) Model. |
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