Home Health Update
PDF Version
of BQA 01-030 (PDF, 11 KB)
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Date: May 31, 2001 DSL-BQA-01-030
To: Home Health Agencies HHA 15
From: Jan Eakins, Chief, Provider Regulation and Quality Improvement
Section
Via: Sue Schroeder, Director, Bureau of Quality Assurance
The purpose of this memorandum is to provide you with information
related to:
-
Wisconsin Administrative Code HFS 133
-
Home health agency questions and answers
-
Potential impact of the home health
prospective payment system (HHPPS)
Wisconsin Administrative Code HFS 133 Revisions
Revisions to Chapter HFS 133, Wisconsin Administrative Code for
home health licensure, became effective on May 1, 2001. The Bureau of
Quality Assurance (BQA) will begin surveying for compliance with the
revised HFS 133 beginning on July 1, 2001. A copy
of the revised rule (exit
DHFS), dated April 2001 is attached. The following areas of HFS
133 have been revised:
-
HFS 133.02 (5m), (6g), (6m), (8m), and (12m), Definitions
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HFS 133.03 ((3)(h), Application, (4)(b), (4)(c),and (4)(d), Issuance
of license, (8), Hearings, (9), Reporting
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HFS 133.04(4), Inspections
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HFS 133.06(4)(d)1, Employee health
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HFS 133.09 (3), Discharge of patients.
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HFS 133.10(1), Required services
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HFS 133.14(6), Contracted registered nursing services
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HFS 133.20(4), Physician’s orders
The Wisconsin administrative codes are also available on the Internet
at http://www.legis.state.wi.us/rsb/code/index.html
(exit DHFS).
Home Health Agency Questions and
Answers
BQA received the attached memorandum, ref. S&C
01-14, dated April
23, 2001, from the Health Care Financing Administration (HCFA), Survey and
Certification Group. The memo provides guidance on the home health issues
listed below to HCFA regional office and state agency survey and
certification personnel.
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42CFR 484.4 - Personnel qualifications
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42CFR 484.10 - Patient rights
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42CFR 484.14 - Organization, services and administration
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42CFR 484.16 - Group of professional personnel
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42CFR 484.18 - Acceptance of patients, plan of care and medical
supervision
The information included within this memorandum is currently in effect
and provided as clarification to current HCFA policy.
Potential Impact of the Home
Health PPS
BQA received the attached memorandum, Ref. S&C
01-15 (exit DHFS; PDF), dated April
30, 2001, from the HCFA, Survey and Certification Group. The memo provides
information on the topics listed below to regional office and state agency
survey and certification personnel. HHAs may find the review of these
current policies useful.
-
Overview of HHPPS.
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HHPPS and provision of therapy services.
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Provider compliance with the CoPs under PPS.
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Discharge requirements.
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Potential areas for surveyor review.
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Complaints.
Resources
Please direct questions, including questions related to the attached
HCFA memos, to the resource contacts listed below:
Home health regulations:
Barbara Woodford, Nurse Consultant
[replaced by Marianne Missfeldt, (715) 836-4036].
OASIS clinical issues:
Andrea Henrich, OASIS Education Coordinator, 608/267-3807 or henriam@dhs.state.wi.us.
Pharmacy/medication:
Douglas Englebert, Pharmacy Practice Consultant, 608/266-5388 or engleda@dhs.state.wi.us.
Medicare payment and billing:
Medicare Provider Relations at United Government Services,
1-877-309-4290.
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