Regulations & Policy

CMS doesn't set a per-visit day rate for home health — it pays per 30-day period under PDGM. Here's how it works, what the 2026 rates are, and what affects your reimbursement.

Electronic Visit Verification (EVV) is federally mandated for home health and personal care services. Here's what it captures, how states enforce it, and what agencies need to comply.

Medicare covers home health services at $0 cost to patients — no copay, no deductible. Here's what qualifies, what's excluded, and when you might owe something.

Complete guide to OASIS assessment time points — when each type is required, CMS timeframes, and the most common scheduling mistakes agencies make.

GG0130 and GG0170 are the functional scoring items in OASIS-E2 that directly affect PDGM payment. Here's exactly how to score them, what the scale means, and the mistakes that cost agencies money.

Complete guide to home health supervisory visit requirements. Covers HHA 14-day rule, PTA/COTA 30-day reassessment, RN-LPN supervision, and 42 CFR 484.80.

OASIS-E2 replaces M0069 (Gender) with A0810 (Sex). Here's what changed, what to code, what's gone from the guidance, and how it aligns with SNF/IRF data standards.

OASIS-E2 replaces A1250 with A1255 — new question wording, new response codes, 12-month lookback, and no more discharge collection. Here's exactly how to score it with two real home health scenarios.

An intercepted fall is still a fall on OASIS-E2. Here's the CMS definition, the scenarios that trip clinicians up, the difference between an intercepted fall and a balance challenge during therapy, and exactly what to write.