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Printed Date: 9/22/2015
Effective for claims with a "From" date on or after January 1, 2020, Change Request (CR) 11081 implements the policies of the home health Patient-Driven Groupings Model (PDGM) as described in the Calendar Year (CY) 2019 home health (HH) final rule (CMS-1689-FC). The PDGM changes the unit of payment from 60-day episodes of care to 30-day periods of care, eliminates the therapy thresholds used in determining home health payment and includes other operation changes.
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Last Updated: 4/01/2020