Skip to Main Content
Services Talent Knowledge
Site Search

Blog Post

March 4, 2016

Proposed Regulation Offers Documentation Relief to Home Care Agencies

The New York State Department of Health has posted for public comment a proposed rule that would extend from 30 days to one year the time for home care agencies to submit documentation required for reimbursement of physician-ordered services.

Under current New York regulation, certified home health agencies (“CHHAs”) and licensed home care service agencies (“LHCSAs”) have 30 days to obtain an authorized practitioner signature for all medical orders and nursing diagnoses after admission or any change to the order. The proposed rule would amend Section 763.7(a)(3) (for CHHAs) and Section 766.4(d) (for LHCSAs) of Title 10 of the New York Codes, Rules and Regulations to give the agencies 12 months to obtain the signed practitioner order “or prior to billing, whichever is sooner.” That timeframe aligns with the one-year period for submitting claims for Medicare payments under CMS regulations.

The new rule was proposed as a result of recommendations made by the Home and Community Based Care Workgroup, which was established by New York State budget legislation to examine critical areas of home care regulation. The proposed rule is open for public comment through March 26, 2016.


Click here to sign up for alerts, blog posts, and firm news.


Sign up to receive our latest news via email

Practice Areas

Featured Industries

New & Emerging Industry Practice Areas


View our Privacy Policy

Featured Media


COVID-19: OPWDD Updates Billing Guidance for Certain Providers


COVID-19: Eligible Massachusetts Businesses Begin Reopening Under Commonwealth's Four-Phase Plan


NYS Statutes of Limitation Further Tolled During COVID-19


COVID-19: Eligible Connecticut Businesses to Open May 20


COVID-19: SBA Releases Highly Anticipated PPP Loan Forgiveness Application


NYS COVID-19 Administrative Orders Don't Require Parties to Appear for Remote Depositions

This site uses cookies to give you the best experience possible on our site and in some cases direct advertisements to you based upon your use of our site.

By clicking [I agree], you are agreeing to our use of cookies. For information on what cookies we use and how to manage our use of cookies, please visit our Privacy Statement.

I AgreeOpt-Out