CMS: Home Health Agencies Must Obtain New Surveys To Re-Activate Billing Privileges

On April 6, 2012, CMS issued a memorandum to state survey agency directors (S&C: 12-26-HHA)  informing them that, effective immediately, Home Health Agencies (HHAs) that have had their billing privileges deactivated must undergo recertification surveys before billing privileges can be reinstated.  The change in policy was enacted with the The Home Health Prospective Payment System (HHPPS) final rule CMS-1560-F, which amended 42 C.F.R. 424.540(b)(3), effective January 1, 2010.

As CMS noted, a deactivation of billing privileges most commonly occurs when the provider fails to submit a Medicare claim for 12 consecutive months.  During the deactivation period, the HHA’s Medicare provider agreement remains in place and the HHA will retain the same CMS Certification Number (CCN) once the recertification survey has been completed.  No new provider agreement will be required.

For the full text of the Survey and Certification Letter, please see —> S&C: 12-26-HHA

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