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Information regarding Exemption Process from CAHPS and Penalty for Not Participating
Home health agencies are required to participate in HHCAHPS by the fourth quarter of 2010 (with testing completed in the third quarter of 2010) in order to receive a full market basked update in 2012, unless they receive approval from CMS for an exemption. Exemptions will be given to agencies that served fewer than 60 unduplicated Home Health CAHPS survey-eligible patients between April 1, 2009 and March 31, 2010. Agencies must submit t requests for exemptions before noon on June 16, 2010. The exemption submission request can be submitted directly from the following web site: https://homehealthcahps.org/ForHHAs/ParticipationExemptionRequestForm.aspx. (DETAILED DESCRIPTION OF EXEMPTION PROCESS)   

Medicare-certified home health agencies that serve fewer than 60 unduplicated Home Health Care CAHPS survey-eligible patients over the course of the 12-month period from April 1, 2009 through March 31, 2010 will be exempted from participating in the Home Health Care CAHPS Survey for the calendar year 2012 annual payment update (APU).

Agencies seeking this exemption must provide a count of the number of patients who meet survey eligibility requirements that their agency served between April 1, 2009 and March 31, 2010. The count of the number of patients who meet survey eligibility requirements must be reported by completing and submitting the online form below no later than 11:59 PM Eastern Time on June 16, 2010.
    

Please review the information below. When you have made the count of patients served by your agency between April 1, 2009 and March 31, 2010, complete Steps 1-6 of this online form.

Which patients should be included in the count?

Your count should include patients your agency served between April 1, 2009 and March 31, 2010 whose care was paid for by Medicare and/or Medicaid and who meet the following survey eligibility criteria.

  • Patients who were at least 18 years of age at the time they received home health care from your agency;
  • Patients who received at least two skilled care visits from your agency between April 1, 2009 through March 31, 2010;
  • Patients who were not discharged to hospice care during the time of service; and
  • Patients who did not have "maternity" as the primary reason for receiving home health care.

Note that patients enrolled in a Medicare Advantage plan and those enrolled in a Medicaid managed care plan must be included in the count if they meet the criteria listed above.

Do not include the following types of patients in your count.

  • Patients whose care was NOT paid for by Medicare and/or Medicaid;
  • Patients under 18 years old as of the date you are submitting your count;
  • Patients who received routine maternity care visits only;
  • Patients who were deceased as of the date you are submitting your count;
  • Patients who received hospice care between April 1, 2009 and March 31, 2010; and
  • Patients who have formally requested that your agency NOT release their identifying information.

Exemption submission requests can be submitted directly from the following web site: https://homehealthcahps.org/ForHHAs/ParticipationExemptionRequestForm.aspx.
 

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The Home Care Association of Colorado
7400 East Arapahoe Road, Suite #211, Centennial, Colorado 80112-1281 U.S.A.
Phone 303-694-4728   Fax 303-694-4869   Email hcac@assnoffice.com

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sc 12/21/2010