Home Health & ESRD Proposed CY 2023 Payment Rules

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) Special Edition – Tuesday, June 21, 2022 Home Health & ESRD Proposed CY 2023 Payment Rules Home Health Agencies: Calendar Year 2023 Proposed Rule — Submit Comments by August 16 ESRD Facilities: Calendar Year 2023 Proposed Rule—Submit Comments by August 22 Home Health Agencies: Calendar Year 2023 Proposed Rule — Submit Comments by August 16 CMS issued a Calendar Year (CY) 2023 Home Health Prospective Payment System (HH PPS) Rate Update proposed rule to update Medicare payment policies and rates for home health agencies. See a summary of key provisions. Proposals include: Routine updates to the Medicare HH PPS and home infusion therapy services payment rates for CY 2023 Permanent prospective payment adjustment to the home health 30-day period payment rate Requests for input on how best to implement a temporary payment adjustment for CYs 2020 and 2021, and collecting telehealth data on home health claims We encourage you to review the rule, and submit formal comments by August 16, 2022.  ESRD Facilities: Calendar Year 2023 Proposed Rule—Submit Comments by August 22 CMS issued a Calendar Year 2023 ESRD Prospective Payment System (PPS) proposed rule to update Medicare payment policies and rates for renal dialysis services. See a summary of key provisions. Proposals include: Rebase and revise ESRD Bundled market basket to a 2020 base year and update the labor-related share Change ESRD PPS methodology for calculating the outlier threshold for adult patients Apply a permanent 5% cap on decreases in the ESRD PPS wage index and increase the wage index floor Change definition of "oral-only drug" beginning January 1, 2025, and clarify ESRD PPS functional category definitions Request comments on whether 3 products meet eligibility criteria for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Request input on a potential add-on payment adjustment for new renal dialysis drugs and biological products and health equity issues under the ESRD PPS, with a focus on pediatric dialysis payment Update requirements and input requests for the ESRD Quality Incentive Program We encourage you to review the rule, and submit formal comments by August 22, 2022.  Report a problem viewing this newsletter. The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS). Paid for by HHS. Please share this important information with your colleagues and encourage them to subscribe. You can read previous issues in the archive. You're getting this message because you subscribed to get email updates from the Centers for Medicare & Medicaid Services (CMS). Update your subscriptions, modify your password or email address, or stop subscriptions at any time on your Subscriber Preferences Page. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com. This service is provided to you at no charge by Centers for Medicare & Medicaid Services (CMS). This email was sent to edwardlorilla1986.paxforex@blogger.com using GovDelivery Communications Cloud 7500 Security Boulevard · Baltimore MD 21244