Medicare Home Health Conditions of Participation

The Resources You Need to Succeed

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

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

On-Demand Videos

Medicare Conditions of Participation Overview

Jennifer Gibson, RN, HCS-D ICD-10, COS-C, highlights the most significant Medicare Home Health Conditions of Participation changes, including QAPI, patient rights and reorganization of the Conditions of Participation.

Patient Rights and Assessments

This video highlights the six standards of patient rights, timelines for notice of rights, verbalizing the role of the patient's chosen representative versus legal representative, and more.

Skilled Professional Services

This video highlights the regulation and qualifications for skilled professionals and home health aides, updated home health aide training and evaluation of program standards.

Care Planning and Coordination

This video highlights the updated regulation for care planning, coordination of services and quality, understanding the changes regarding the information which must be provided to the patients, and more.

Quality Assessment and Performance Improvement

This video highlights changes related to Quality Assessment and Performance Improvement (QAPI) and identifies how organizations can implement the new Conditions of Participation related to QAPI, and more.

Infection Prevention and Control

This video highlights who is responsible for the organization's infection prevention and control program, becoming knowledgeable in the new requirements and identifying what the organization should be monitoring.

Emergency Preparedness

This video details why emergency preparedness is important, the need to become knowledgeable in the new requirements, identifying the date in which compliance must be reached, and more.

Overview Webinar

This webinar recording and question-and-answer session will help you understand the "why's" for our comprehensive Home Health Medicare Conditions of Participation solutions.

Questions and Answers, Session 2

Jennifer Gibson, Senior Clinical Consultant at Axxess, answers questions about the "why's" for the new comprehensive Home Health Medicare Conditions of Participation solutions.

Questions and Answers, Session 3

Jennifer Gibson, Senior Clinical Consultant at Axxess, answers more questions about the "why's" for the new comprehensive Home Health Medicare Conditions of Participation solutions.


Blogs

Care Planning and Coordination

Review the new regulatory expectations for patient care plans and quality of care.

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The Role of QAPI

Understand the Quality Assessment and Performance Improvement (QAPI) standards.

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Patient Rights

Learn the six patient rights standards in the updated Conditions of Participation.

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Axxess AgencyCore Meets Medicare Conditions of Participation

Our software is fully compliant with the new Medicare Home Health Conditions of Participation.

Nurses and an agency owner looking at a screen.
Nurses and an agency owner looking at a screen.

Home Health Agency Software

See what features were added to help agencies comply with the new Conditions of Participation.

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A Medicare Conditions of Participation presentation.

Downloadable Resource

Read about the key areas upgraded within the industry's leading home health agency software.

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Help Center

Our easy-to-use help center includes a wealth of information on Home Health Conditions of Participation and our software.

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