Medicare Home Health Conditions of Participation
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What are the Medicare Conditions of Participation?
For the first time since 1997, CMS has updated the Medicare Conditions of Participation for Home Health organizations (HH CoPs). The Home Health Conditions of Participation are required standards for organizations to participate in Medicare and Medicaid programs. These standards establish initial compliance and ongoing re-assessment during federal and state surveys and organizations with deeming authority.
Medicare’s Quality Improvement Timeline
2018
Jan 13, 2018
Implementation of the updated HH CoPs
Jul 13, 2018
Start of Quality Assurance and Performance Improvement (QAPI) CoPs
2018
2019
Jan 1, 2019
Medicare begins fines for CoPs non-compliance
Jan 2020
Anticipated start date of Home Health Groupings Model (HHGM)
2020
2022
Jan 2022
Anticipated rollout of value-based purchasing to all organizations
2018
Jan 13, 2018
Implementation of the updated HH CoPs
2018
Jul 13, 2018
Start of Quality Assurance and Performance Improvement (QAPI) CoPs
2019
Jan 1, 2019
Medicare begins fines for CoPs non-compliance
2020
Jan 2020
Anticipated start date of Home Health Groupings Model (HHGM)
2022
Jan 2022
Anticipated rollout of value-based purchasing to all organizations
What are the goals of the Medicare Conditions of Participation?
The revised Conditions of Participation emphasize organizational structure and staff oversight to ensure patients are safely and effectively receiving healthcare services. The new requirements focus on using an interdisciplinary approach to care delivery, improving the quality of patient care and utilizing organization self‑assessments.
The Three Areas Affected by the Medicare Conditions of Participation
Care Delivery
Delivering timely services and improving patient care at the point‑of‑care
Communication of Care
Enhancing patient, provider and cross-functional communications
Organizational Functions
Streamlining organizational operations and increasing compliance
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