Home Health Update
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
Via: Sue Schroeder, Director, Bureau of Quality Assurance
The purpose of this memorandum is to provide you with information
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
HFS 133.03 ((3)(h), Application, (4)(b), (4)(c),and (4)(d), Issuance
of license, (8), Hearings, (9), Reporting
HFS 133.04(4), Inspections
HFS 133.06(4)(d)1, Employee health
HFS 133.09 (3), Discharge of patients.
HFS 133.10(1), Required services
HFS 133.14(6), Contracted registered nursing services
HFS 133.20(4), Physician’s orders
The Wisconsin administrative codes are also available on the Internet
Home Health Agency Questions and
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
42CFR 484.4 - Personnel qualifications
42CFR 484.10 - Patient rights
42CFR 484.14 - Organization, services and administration
42CFR 484.16 - Group of professional personnel
42CFR 484.18 - Acceptance of patients, plan of care and medical
The information included within this memorandum is currently in effect
and provided as clarification to current HCFA policy.
Potential Impact of the Home
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.
HHPPS and provision of therapy services.
Provider compliance with the CoPs under PPS.
Potential areas for surveyor review.
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 firstname.lastname@example.org.
Douglas Englebert, Pharmacy Practice Consultant, 608/266-5388 or email@example.com.
Medicare payment and billing:
Medicare Provider Relations at United Government Services,
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