Home Heath

For some reason, I've always had in my thick skull that the requirement to provide the "48-hr Notice" only applied to those Home Health patients with traditional Medicare, not the Advantage Plans. But, it has been brought to my attention that this may not be the case. Can someone provide clarification on this and point me toward the applicable Federal code that covers it?

 

Thanks in advance,

 

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Scott Lambert MPT,
Washington Regional Home Health
Fayetteville AR
+1 (479) 463-1840
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These references provide information for the NOMNC when the patient is receiving MA, and there are additional informational links within these.  Please let us know if you need anything additional. 

1. https://www.cms.gov/medicare/forms-notices/beneficiary-notices-initiative  - webpage includes a table that identifies all the beneficiary notices and what program they apply to.  The Notice of Medicare Non-Coverage (NOMNC) applies for both Medicare FFS and Medicare Advantage.
2. § 422.624 Notifying enrollees of termination of provider services
3. Section 100 of Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance 

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Katie Wehri
Director of Home Health & Hospice Regulatory Affairs
NAHC
Washington, DC
202-240-9254 #3360
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Original Message:
Sent: 02-09-2024 13:32
From: Scott Lambert
Subject: Notice of Medicare Non-Coverage (NOMNC)

For some reason, I've always had in my thick skull that the requirement to provide the "48-hr Notice" only applied to those Home Health patients with traditional Medicare, not the Advantage Plans. But, it has been brought to my attention that this may not be the case. Can someone provide clarification on this and point me toward the applicable Federal code that covers it?

 

Thanks in advance,

 

------------------------------
Scott Lambert MPT,
Washington Regional Home Health
Fayetteville AR
+1 (479) 463-1840
------------------------------