Post-Acute Care

Overview

Home Health

Home health care is a formal, regulated program of care delivered by a variety of health care professionals in the patient’s home for the treatment of a medical condition, illness or disability. Home health is provided through certified home health agencies (HHAs).

As components of the post-acute continuum of care, HHAs provide essential health care services. This specialized support allows patients to remain at home when they would otherwise have to be admitted to a costly institutional setting, such as a skilled-nursing facility or hospital.

CHA’s Center for Post-Acute Care represents the interests of CHA member post-acute care providers,  including inpatient rehabilitation hospitals and units,  long-term acute care hospitals, distinct-part skilled-nursing facilities and home health agencies.  As a part of CHA, the Center for Post-Acute Care serves as the primary public policy arm of the hospital association for post-acute care issues. The center also advocates for hospital-based post-acute care services  in the federal and state legislative and regulatory arenas.

CHA News Article

CMS Releases CY 2020 Home Health PPS Proposed Rule
For CEOs, CFOs, Post-Acute Care Executives

CHA is currently reviewing the Centers for Medicare & Medicaid Services’ calendar year (CY) 2020 proposed rule for the home health (HH) prospective payment system (PPS).

CHA News Article

CDPH Outlines Alternative Pathway for Obtaining a Hospice License
For Licensing and Certification Staff, Home Health and Hospice Leaders

In All Facilities Letter 19-23, issued last week, the California Department of Public Health (CDPH) outlines an alternative pathway to hospice licensing recently made available through the enactment of Senate Bill 1495 (Chapter 424, Statutes of 2018). Under the bill, CDPH must issue a hospice license to any applicant that meets certain standards, including approval by a Centers for Medicare & Medicaid Services-certified national accreditation organization.

CHA News Article

MedPAC, MACPAC Issue June Reports to Congress
For Reimbursement Staff, Post-Acute Care Executives

The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) have issued their June 2019 reports to Congress.

Overview

Hospice

Hospice provides comprehensive and interdisciplinary health care to terminally ill patients, as well as bereavement and support services to the patients’ loved ones. Patients receiving hospice care forgo curative treatments. Hospice care is provided through certified hospice programs, and may be delivered in any patient care setting, but is most often provided in the patient’s home.

CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective hospice health care services.
 

CHA News Article

CDPH Outlines Alternative Pathway for Obtaining a Hospice License
For Licensing and Certification Staff, Home Health and Hospice Leaders

In All Facilities Letter 19-23, issued last week, the California Department of Public Health (CDPH) outlines an alternative pathway to hospice licensing recently made available through the enactment of Senate Bill 1495 (Chapter 424, Statutes of 2018). Under the bill, CDPH must issue a hospice license to any applicant that meets certain standards, including approval by a Centers for Medicare & Medicaid Services-certified national accreditation organization.

CHA News Article

MedPAC, MACPAC Issue June Reports to Congress
For Reimbursement Staff, Post-Acute Care Executives

The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) have issued their June 2019 reports to Congress.

CHA News Article

CMS Issues FFY 2020 Inpatient Rehabilitation Facility PPS Proposed Rule
For CEOs, CFOs, Directors of Rehabilitation Services

The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the inpatient rehabilitation facility prospective payment system (IRF PPS) for federal fiscal year (FFY) 2020. If finalized, the provisions would be effective Oct. 1, 2020.

Overview

Inpatient Rehabilitation & Therapy Services

Medical rehabilitation focuses on improving or restoring functional independence for individuals with disabilities resulting from injury, illness or a medical condition.

Medical rehabilitation is provided at all levels of the health care continuum, including general acute-care hospitals, inpatient rehabilitation facilities (IRFs), skilled-nursing facilities, long-term-care hospitals, outpatient programs and home health agencies.Services may range from coordinated interdisciplinary programs to individual therapy disciplines.

CHA News Article

CMS Offers Training for IRF, SNF Quality Reporting Programs
For Post-Acute Care Staff

The Centers for Medicare & Medicaid Services (CMS) will host two-day, in-person training programs for the skilled-nursing facility (SNF) and inpatient rehabilitation facility (IRF) quality reporting programs (QRPs). The ‘train the trainer’ event for SNF providers will take place Aug. 13 and 14, and Aug. 15 and 16 for IRFs.

CHA News Article

CMS Announces Inpatient Rehabilitation Facility Appeals Settlement Options
For IRF leaders, Directors of Reimbursement, Compliance Staff

The Centers for Medicare & Medicaid Services (CMS) is accepting requests from inpatient rehabilitation facilities (IRFs) to settle appeals that were filed for redetermination with their Medicare administrative contractor (MAC) no later than Aug. 31, 2018 – if the appeal is currently pending or eligible for further appeal at the MAC, quality improvement contractor, Office of Medicare Hearings and Appeals, and/or Medicare Appeals Council review level.

CHA News Article

MedPAC, MACPAC Issue June Reports to Congress
For Reimbursement Staff, Post-Acute Care Executives

The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) have issued their June 2019 reports to Congress.

Overview

Long-Term-Care Hospitals

Long-term-care hospitals (LTCHs) provide hospital-level care for medically complex, long-stay patients. LTCHs meet the same requirements as general acute-care hospitals, but have significantly longer average lengths of stay of 25 days or greater. LTCHs may be freestanding facilities or be co-located within hospitals, and treat a wide variety of conditions, including respiratory failure with ventilator dependency, infections, complex wounds and trauma.

CHA’s Center for Post-Acute Care represents the interests of CHA member post-acute care providers,  including inpatient rehabilitation hospitals and units,  long-term acute care hospitals, distinct-part skilled-nursing facilities and home health agencies.  As a part of CHA, the Center for Post-Acute Care serves as the primary public policy arm of the hospital association for post-acute care issues. The center also advocates for hospital-based post-acute care services  in the federal and state legislative and regulatory arenas.

CHA News Article

CHA Comments on Long-Term Care Hospital PPS Proposed Rule for FFY 2020
For Reimbursement Staff

CHA has submitted a comment letter on the Centers for Medicare & Medicaid Services’ (CMS) federal fiscal year (FFY) proposed rule for the long-term care hospital (LTCH) prospective payment systems (PPS). 

CHA News Article

MedPAC, MACPAC Issue June Reports to Congress
For Reimbursement Staff, Post-Acute Care Executives

The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) have issued their June 2019 reports to Congress.

CHA News Article

CMS Issues Draft Guidance on Co-location Policies, Comments Due July 2
For CEOs, CFOs, Reimbursement Staff, Licensing & Certification Staff, GR Staff, Post-Acute Care Executives

On May 3, the Centers for Medicare & Medicaid Services (CMS) released draft guidance on co-location policies for hospitals that share space, staff, or services with another hospital or health care entity. The draft guidance was issued to clarify how CMS and state surveyors will evaluate these arrangements for compliance with the Medicare Conditions of Participation.

Overview

Skilled-Nursing Facilities / Distinct Part Nursing Facilities

Skilled-nursing facilities (SNFs) have the staff and equipment to provide skilled nursing, medical management and therapy services to individuals, on a 24-hour basis, who do not require high-intensity services provided in the hospital setting.

CHA News Article

CMS Offers Training for IRF, SNF Quality Reporting Programs
For Post-Acute Care Staff

The Centers for Medicare & Medicaid Services (CMS) will host two-day, in-person training programs for the skilled-nursing facility (SNF) and inpatient rehabilitation facility (IRF) quality reporting programs (QRPs). The ‘train the trainer’ event for SNF providers will take place Aug. 13 and 14, and Aug. 15 and 16 for IRFs.

CHA News Article

MedPAC, MACPAC Issue June Reports to Congress
For Reimbursement Staff, Post-Acute Care Executives

The Medicare Payment Advisory Commission (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC) have issued their June 2019 reports to Congress.

CHA News Article

CHA Provides Comments on IRF PPS, SNF Proposed Rules for FFY 2020
For CFOs, Reimbursement Staff, Quality Reporting Leaders, Post-Acute Care Leaders, Government Relations Staff

CHA has submitted comments on the Centers for Medicare & Medicaid Services’ (CMS) federal fiscal year (FFY) 2020 proposed rules for the prospective payment systems (PPS) for inpatient rehabilitation facilities (IRFs) and skilled-nursing facilities (SNFs). 

Overview

Subacute Care

Subacute-care units provide a specialized level of care to medically fragile patients. Subacute patients are individuals who do not need acute care, but who are too ill to be cared for by most skilled-nursing facilities. Frequently, these individuals are ventilator-dependent or require frequent respiratory treatments. While subacute beds are licensed as skilled-nursing beds, they are reimbursed differently and are subject to additional staffing and patient criteria requirements.

CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective subacute-care services.

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