Title 23: Medicaid, Part 215 — Home Health Services

What this rule requires your agency to do

• 1The home health agency must maintain auditable records substantiating that services are medically necessary, including physician/NPP referral, beneficiary identifying information, documentation of the face-to-face encounter, signed initial order and recertifications, the plan of care, and documentation that an RN supervisory visit was made at least every sixty (60) days for home health aide services (Rule 1.6.A).(Title 23: Medicaid, Part 215 — Home Health Services)
• 2The provider must document a face-to-face encounter that occurred no more than ninety (90) days before or thirty (30) days after the start of home health services and that relates to the primary reason the beneficiary requires the service (Rule 1.3.F).(Title 23: Medicaid, Part 215 — Home Health Services)
• 3The home health agency providing services must be certified to participate as a home health agency under Medicare and comply with all applicable state and federal laws and requirements (Rule 1.3.I).(Title 23: Medicaid, Part 215 — Home Health Services)
• 4Home health services must be provided in accordance with a physician/NPP order as part of a written plan of care, which must be reviewed and recertified every sixty (60) days by a physician or NPP (Rule 1.3.G, H).(Title 23: Medicaid, Part 215 — Home Health Services)
• 5Home health aide services must be provided directly by an aide employed by a home health agency in accordance with MSDH-DHFLC standards, and the aide must have successfully completed a state-established or other home health aide training program approved by MSDH-DHFLC (Rule 1.3.A.2).(Title 23: Medicaid, Part 215 — Home Health Services)
• 6Home health providers must satisfy Part 200, Rule 4.8 plus provide an NPI (NPPES verified), IRS written confirmation of tax ID/legal business name, a copy of current Medicare certification or Tie-In Notice, and a copy of the license from the Mississippi State Board of Health, Health Facilities Licensure and Certification (Rule 1.2).(Title 23: Medicaid, Part 215 — Home Health Services)
• 7A supervisory visit by an RN must be made every sixty (60) days for home health aide services (Rule 1.3.A.2.c; Rule 1.6.A.15).(Title 23: Medicaid, Part 215 — Home Health Services)