[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR484.245]



[Page 593]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 484_HOME HEALTH SERVICES--Table of Contents

 

      Subpart E_Prospective Payment System for Home Health Agencies

 

Sec. 484.245  Accelerated payments for home health agencies.



    (a) General rule. Upon request, an accelerated payment may be made 

to an HHA that is receiving payment under the home health prospective 

payment system if the HHA is experiencing financial difficulties because 

there is a delay by the intermediary in making payment to the HHA.

    (b) Approval of payment. An HHA's request for an accelerated payment 

must be approved by the intermediary and CMS.

    (c) Amount of payment. The amount of the accelerated payment is 

computed as a percentage of the net payment for unbilled or unpaid 

covered services.

    (d) Recovery of payment. Recovery of the accelerated payment is made 

by recoupment as HHA bills are processed or by direct payment by the 

HHA.