CMS Home Health Orders Under Maryland TCOC (Total Cost of Care) Model
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On October 10, 2019, the Center for Medicare and Medicaid Services (CMS) approved a waiver that will allow all Medicare-enrolled NPs in Maryland to certify home health services for Medicare beneficiaries beginning on January 1, 2020, as part of the Maryland TCOC Model. The Maryland TCOC Model is the first model tested by the Centers for Medicare and Medicaid Innovation (CMMI) that holds a state fully at risk for the total cost of care for Medicare beneficiaries. CMS has instructed Maryland Medicare Administrative Contractors to begin accepting home health claims submitted by home health agencies with NPs in the attending provider field, as well as claims submitted directly by NPs for certification/re-certification and care plan oversight for home health plans of care. Access more information regarding the waiver and more information about the Maryland TCOC Model. Additionally, AANP has put together a brief primer on the waiver.   (must be AANP member to access).  AANP is very pleased to see that CMS recognizes authorizing NPs to fully oversee home health plans of care will decrease costs of care, lower unnecessary utilization and support patient/provider relationships. AANP will continue to work with CMS on expanding this authorization throughout other Medicare and Medicaid programs.
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