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Continued Efforts to Delay Pre-Claim Review

Across the nation, many are anticipating the new presidential administration. However, with a few weeks left in 2017, home health providers continue to focus on current efforts to delay the pre-claim review (PCR) demonstration, which was introduced by the Centers for Medicare and Medicaid Services (CMS) earlier in the year.

Community- and hospital-based home health agencies nationwide are encouraging congress to pass the Pre-Claim Undermines Seniors’ Health (PUSH) Act of 2016, which would delay PCR by one year. Illinois is currently the only state where PCR has been rolled out prior to the delay of its launch in other states.

With the change in administration comes the nomination of Rep. Tom Price, M.D. (R-GA) to be Secretary of Health and Human Services (HHS). If this appointment is confirmed, Price would have the authority to end PCR without congressional approval.

CHAP will continue to monitor this issue and provide updates as they are made available. 


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