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CMS Reschedules Next Phase of Review Choice Demonstration, Florida to Begin May 4, 2020

Monday, October 21, 2019   (0 Comments)
Posted by: Kyle Simon

The National Association for Home Care & Hospice (NAHC) is pleased to announce that the Centers for Medicare & Medicaid Services (CMS) will delay the implementation of the Review Choice Demonstration (RCD) in Texas to March 2, 2020. The RCD is expected to begin in North Carolina and Florida on May 4, 2020. The RCD was originally scheduled to begin in Texas at the beginning of December, right before the implementation date of January 1, 2020, for the Patient-Driven Groupings Model (PDGM). 

The delay is to allow home health agencies (HHAs) in these states to transition to PDGM and comes after advocacy efforts by NAHC, the Association for Home Care & Hospice of North Carolina, the Texas Association for Home Care & Hospice, HCAF, and many other stakeholders. Thank you!

The choice selection period will begin on January 15, 2020, and end on February 13, 2020 for HHAs in Texas who submit claims to Palmetto GBA. HHAs that do not make a choice selection by February 13, 2020, will be automatically placed in "Choice 2: 100% post-rayment review". Following the start of the demonstration in Texas, the demonstration is expected to begin in North Carolina and Florida, as stated above, on May 4, 2020. CMS will monitor the transition to PDGM and assess the need for any change to this date. 

With the transition to the PDGM, CMS will phase in the inclusion of Low Utilization Payment Adjustments (LUPAs) within the RCD.

Click here to view the full CMS announcement for further information.

Even though we have been given a slightly longer reprieve from RCD, HCAF will continue to forge ahead to strive to meet the needs of our members as you prepare for 2020 and the challenges that lie ahead. We all must continue to make the most of every precious, extra minute we have been given to prepare.

Associate Members