Federal Register. Medicare and Medicaid Programs CY 2. Home Health Prospective Payment System Rate Update and Proposed CY 2. Case Mix Adjustment Methodology Refinements Home Health Value Based Purchasing Model and Home Health Quality Reporting Requirements. El Oso Y La Casa Azul. Etymology 1 group think as in doublethink a pattern of thought characterized by selfdeception, forced manufacture of consent, and conformity to group values. BOOK III. BEFORE speaking of the different forms of government, let us try to fix the exact sense of the word, which has not yet been very clearly explained. Ashford University offers online undergraduate programs which are administered by the academic colleges and the Forbes School of Business at Ashford University. Programs Aimed At Technological Self Reliance' title='Programs Aimed At Technological Self Reliance' />Start Preamble. Start Printed Page 3. AGENCY Centers for Medicare Medicaid Services CMS, HHS. ACTION Proposed rule. SUMMARY This proposed rule updates the home health prospective payment system HH PPS payment rates, including the national, standardized 6. Continuous improvement programs are sprouting up all over as organizations strive to better themselves and gain an edge. The topic list is long and varied, and. NATURAL RESOURCES CORNELL COOPERATIVE EXTENSION Modern Agriculture Its Effects on the Environment. Nancy M. Trautmann and. When it comes to teachers learning and valuing the effective use of new technologies, some schools are discovering that the kinds of training programs offered in the. Programs Aimed At Technological Self Reliance' title='Programs Aimed At Technological Self Reliance' />NRS conversion factor, effective for home health episodes of care ending on or after January 1, 2. This rule also updates the HH PPS case mix weights using the most current, complete data available at the time of rulemaking implements the 3rd year of a 3 year phase in of a reduction to the national, standardized 6. CY 2. 01. 2 and CY 2. CY 2. 01. 4 through CY 2. This rule proposes case mix methodology refinements, as well as a change in the unit of payment from 6. January 1, 2. 01. Home Health Value Based Purchasing HHVBP Model and to the Home Health Quality Reporting Program HH QRP. DATES To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p. September 2. 5, 2. Bally Technologies Manual Testing Interview Questions. ADDRESSES In commenting, please refer to file code CMS 1. P. Because of staff and resource limitations, we cannot accept comments by facsimile FAX transmission. You may submit comments in one of four ways please choose only one of the ways listed 1. Electronically. You may submit electronic comments on this regulation to http www. Follow the instructions under the More Search Options tab. By regular mail. You may mail written comments to the following address ONLY Centers for Medicare Medicaid Services, Department of Health and Human Services, Attention CMS 1. P, P. O. Box 8. 01. Baltimore, MD 2. 12. Please allow sufficient time for mailed comments to be received before the close of the comment period. By express or overnight mail. You may send written comments to the following address ONLY Centers for Medicare Medicaid Services, Department of Health and Human Services, Attention CMS 1. P, Mail Stop C4 2. Security Boulevard, Baltimore, MD 2. By hand or courier. If you prefer, you may deliver by hand or courier your written comments before the close of the comment period to either of the following addresses a. For delivery in Washington, DCCenters for Medicare Medicaid Services, Department of Health and Human Services, Room 4. G, Hubert H. Humphrey Building, 2. Independence Avenue SW., Washington, DC 2. Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without federal government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed. For delivery in Baltimore, MDCenters for Medicare Medicaid Services, Department of Health and Human Services, 7. Security Boulevard, Baltimore, MD 2. If you intend to deliver your comments to the Baltimore address, please call 4. Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period. For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section. Start Further Info. FOR FURTHER INFORMATION CONTACT For general information about the HH PPS, please send your inquiry via email to Homehealth. Policycms. hhs. gov. For information about the HHVBP model, please send your inquiry via email to HHVBPquestionscms. Joan Proctor, 4. End Further Info. End Preamble. Start Supplemental Information. SUPPLEMENTARY INFORMATION Inspection of Public Comments All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all comments received before the close of the comment period on the following Web site as soon as possible after they have been received http www. Follow the search instructions on that Web site to view public comments. Comments received timely will also be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare Medicaid Services, 7. Security Boulevard, Baltimore, Maryland 2. Monday through Friday of each week from 8 3. EST. To schedule an appointment to view public comments, phone 1 8. Table of Contents. I. Executive Summary. A. Purpose. B. Summary of the Major Provisions. C. Summary of Costs and Benefits. II. Background. A. Statutory Background. B. Current System for Payment of Home Health Services. C. Updates to the Home Health Prospective Payment System. D. Report to Congress Home Health Study on Access to Care for Vulnerable Patient Populations and Subsequent Research and Analyses. III. Provisions of the Proposed Rule Payment Under the Home Health Prospective Payment System HH PPSA. Monitoring for Potential ImpactsAffordable Care Act Rebasing Adjustments. B. Proposed CY 2. HH PPS Case Mix Weights. C. Proposed CY 2. Home Health Payment Rate Update. D. Payments for High Cost Outliers under the HH PPSE. Proposed Implementation of the Home Health Groupings Model HHGM for CY 2. IV. Proposed Provisions of the Home Health Value Based Purchasing HHVBP Model. A. Background. B. Quality Measures. C. Quality Measures for Future Consideration. Start Printed Page 3. V. Proposed Updates to the Home Health Care Quality Reporting Program HH QRPA. Background and Statutory Authority. B. General Considerations Used for the Selection of Quality Measures for the HH QRPC. Accounting for Social Risk Factors in the HH QRPD. Proposed Data Elements for Removal From OASISE. Proposed Collection of Standardized Patient Assessment Data Under the HH QRPF. HH QRP Quality Measures Proposed Beginning With the CY 2. HH QRPG. HH QRP Quality Measures and Measure Concepts Under Consideration for Future Years. H. Proposed Standardized Patient Assessment Data. I. Proposals Relating to the Form, Manner, and Timing of Data Submission Under the HH QRPJ. Other Proposals for the CY 2. HH QRP and Subsequent Years. K. Proposals and Policies Regarding Public Display of Quality Measure Data for the HH QRPL. Proposed Mechanism for Providing Confidential Feedback Reports to HHAs. M. Home Health Care CAHPS Survey HHCAHPSVI. Request for Information on CMS Flexibilities and Efficiencies. VII. Collection of Information Requirements. A. Statutory Requirement for Solicitation of Comments. B. Collection of Information Requirements for the HH QRPC. Submission of PRA Related Comments. VIII. Response to Public Comments. How To Soften Wood Putty Minwax. IX. Regulatory Impact Analysis. A. Statement of Need. B. Overall Impact. C. Detailed Economic Analysis. D. Alternatives Considered. E. Accounting Statement and Table. F. Reducing Regulation and Controlling Regulatory Costs. G. Conclusion. X. Federalism Analysis. Regulation Text. Acronyms. In addition, because of the many terms to which we refer by abbreviation in this proposed rule, we are listing these abbreviations and their corresponding terms in alphabetical order below ACH LOS Acute Care Hospital Length of Stay. ADL Activities of Daily Living.