COVID-19 Resource Center
HOME HEALTH and HOSPICE: Paramount Advantage will cease to provide coverage effective June 1, 2020 to Medicaid recipients who reside in the Central\Southeast region. Healthcare providers may have questions about how healthcare coverage for these former Paramount members will transition to other Medicaid managed care plans (MCPs) and what providers should expect from these other MCPs as they assume coverage responsibilities for those members.
HOME HEALTH and HOSPICE: Medicare Clarifies Recognition of Interstate License Compacts, CMS MLN Connects, May 14, 2020 – A new MLN Matters Special Edition Article SE20008 on Medicare Clarifies Recognition of Interstate License Compacts (PDF) is available. Learn about recognition of interstate license compacts as valid and full licenses.
HOME HEALTH and HOSPICE: Latest FAQs from the Small Business Administration (SBA) on the Payroll Protection Program, NHPCO COVID-19 Policy Updates, May 14, 2020 – On May 13, 2020, the Small Business Administration (SBA) issued FAQ No. 47 which extended the safe harbor repayment date provided to certain recipients of Paycheck Protection Program (PPP) loans. This repayment date, which was previously extended from May 7, 2020 to May 14, 2020, has again been extended to May 18, 2020. Pursuant to the SBA’s FAQ 47 issued late in the day on May 13, any borrower that applied for a PPP loan and repays the loan in full by May 18, 2020, will be deemed by the SBA to have made the required certification concerning the necessity of the loan request in good faith. Borrowers do not need to apply for this extension.
HOME HEALTH and HOSPICE: Factors to Consider When Planning to Purchase Respirators from Another Country, NHPCO COVID-19 Policy Updates, May 15, 2020
PALLIATIVE CARE: NAHC to NIH: Include our Palliative Care Recommendations in COVID-19 Treatment Guidelines, NAHC Report, May 15, 2020 – The National Association for Home Care & Hospice (NAHC) has joined like-minded organizations in the National Coalition for Hospice and Palliative Care in writing a letter to the National Instituets of Health, urging that our expert palliative care content be included in COVID-19 treatment guidelines.
HOSPICE: CMS Issues FAQs for Nursing Home Reopening, NHPCO COVID-19 Policy Updates, May 18, 2020 – On May 18, 2020, CMS issued FAQs for nursing homes, with recommendations for reopening. There is no mention of hospice workers in the FAQs, but there is guidance on testing that may be of interest.
HOME HEALTH and HOSPICE: Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration), Palmetto GBA – Providers are reminded that Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The suspension is effective for claims with dates of service from May 1 through December 31, 2020. Action items: Share this information with appropriate staff. Providers should review their patient accounting systems and adjust accordingly due to this change. Secondary insurance plans are responsible for adjusting their systems due to this change.
>>>RCD/PDGM UPDATES –
AT THIS TIME OCHCH IS NOT SCHEDULING ANY WEEKLY PDGM/RCD CALLS.
If you have PDGM or RCD QUESTIONS PLEASE SEND THEM TO firstname.lastname@example.org
Use PDGM or RCD as the subject title.
If you need OCHCH to contact Palmetto GBA regarding a PCR NON-AFFIRMATION,
Please e-mail a short description and the UTN and your provider number.
DO NOT e-mail any info that could be non-compliant with the HIPAA regulations
Please check out the toolkits for PDGM and also RCD
>>>RCD UPDATES –
RCD Update –
NEW: Option to Stay in PCR, Palmetto GBA – For Home Health providers participating in the Review Choice Demonstration (RCD), you will now have the option to keep Pre-Claim Review (PCR) as your review choice for future cycles. This will avoid having to reselect PCR for each selection cycle. Providers can withdraw from this option and still change to another review choice in a future cycle.
New: RCD Tip: PCR Task Signed Documentation, Palmetto GBA – The Medical Review (MR) team has noticed an increased number of providers in Pre-Claim Review (PCR) who are submitting documentation (plan of care, therapy orders, etc.) that are not signed. As a reminder, for tasks 1 through 4, a signature is required. Documents submitted without a proper physician signature will result in a non-affirmation. Oral orders must be countersigned and dated by the physician before the home health agency submits the final bill.
We Are Going Green with RCD Cycle Results eLetters, Palmetto GBA – Palmetto GBA is going green with RCD Cycle Results eLetters. We will send home health agencies their RCD Cycle Results via eLetter in eServices. Please review and share with your staff.
RCD Tip: Using the Correct Provider Transaction Access Number (PTAN), Palmetto GBA – If you are a part of a Home Health Agency (HHA) with more than one location and multiple PTANs, please make sure you are using the correct PTAN when submitting Pre-claim Review (PCR) requests
RCD for Ohio’s Home Health Services Has Been PAUSED
Ohio Providers Transition to Review Choice Demonstration (RCD) Cycle Two, Palmetto GBA – Beginning May 1, 2020, you will be able to choose the next round’s review option. Typically, the selection period is open for a two-week period. Due to the current Public Health Emergency (PHE) related to COVID-19, the last day to make a selection has not yet been determined. Palmetto GBA will announce the last day to make a selection as soon as possible on their website and via email update. If you are not signed up for the Palmetto GBA email updates, please visit https://tinyurl.com/GetListserv to sign up.