Doctor concerned with health care law

Breaking news and expert analysis on legal and compliance issues

[Back To Home][Back To Archives]

From Health Law Daily, August 31, 2015

CMS gives home health agencies 90 days to report location change

By Kayla R. Bryant, J.D.

Home health agencies (HHAs) that move to a new site or location must notify the Medicaid administrative contractor (MAC) within 90 days of the move. CMS updated regulations to resolve a conflict in the number of days required. HHAs that do not update this information within the timeframe are in danger of losing billing privileges (CMS Letter, S&C: 15-51-HHA, August 28, 2015).

State Operations Manual. Section 2185 of the State Operations Manual (SOM) requires that an HHA update its MAC within 30 days of moving to a new location, including submitting an amended Form CMS-855A. However, the provider enrollment regulations provide for a 90-day notification time frame (42 CFR 424.516(e)(2)). To resolve this inconsistency, CMS updated the SOM to specify a 90-day notification timeframe, effective immediately.

Notification of the move allows CMS to determine whether the HHA is complying with conditions of participation at the new location. The move must be to a new site within the approved geographic area to qualify. According to the SOM, the change of location will not be approved if a branch location moves far enough from the parent location that the HHA will not be able to exercise supervision and control necessary to ensure that the branch offers satisfactory quality of care to its patients.

MainStory: TopStory CMSNews CoPNews HomeNews PartANews PartBNews QualityNews

Health Law Daily

Introducing Wolters Kluwer Health Law Daily — a daily reporting service created by attorneys, for attorneys — providing same-day coverage of breaking news, court decisions, legislation, and regulatory activity.


A complete daily report of the news that affects your world

  • View full summaries of federal and state court decisions.
  • Access full text of legislative and regulatory developments.
  • Customize your daily email by topic and/or jurisdiction.
  • Search archives for stories of interest.

Not just news — the right news

  • Get expert analysis written by subject matter specialists—created by attorneys for attorneys.
  • Track law firms and organizations in the headlines with our new “Who’s in the News” feature.
  • Promote your firm with our new reprint policy.

24/7 access for a 24/7 world

  • Forward information with special copyright permissions, encouraging collaboration between counsel and colleagues.
  • Save time with mobile apps for your BlackBerry, iPhone, iPad, Android, or Kindle.
  • Access all links from any mobile device without being prompted for user name and password.