Should our home health agency discharge a patient that elects a Medicare Advantage (MA) Plan (also known as a Medicare HMO)?

Answer:
When a patient who is receiving the Medicare home health benefit elects an MA Plan during a home health episode, the patient's Medicare coverage is put on hold for the duration of the MA Plan election. The HHA must discharge the patient from Medicare services before the effective date of the MA Plan using an '06' patient status code.

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Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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