[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR484.260]



[Page 608]

 

                         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.  484.260  Limitation on review.



    An HHA is not entitled to judicial or administrative review under 

sections 1869 or 1878 of the Act, or otherwise, with regard to the 

establishment of the payment unit, including the national 60-day 

prospective episode payment rate, adjustments and outlier payments. An 

HHA is not entitled to the review regarding the establishment of the 

transition period, definition and application of the unit of payments, 

the computation of initial standard prospective payment amounts, the 

establishment of the adjustment for outliers, and the establishment of 

case-mix and area wage adjustment factors.