{"abstract":"This final rule establishes requirements for the new prospective payment system for home health agencies as required by section 4603 of the Balanced Budget Act of 1997, as amended by section 5101 of the Omnibus Consolidated and Emergency Supplemental Appropriations Act for Fiscal Year 1999 and by sections 302, 305, and 306 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999. The requirements include the implementation of a prospective payment system for home health agencies, consolidated billing requirements, and a number of other related changes. The prospective payment system described in this rule replaces the retrospective reasonable-cost-based system currently used by Medicare for the payment of home health services under Part A and Part B.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2000/07/03/00-16432.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"409","title":42},{"chapter":null,"citation_url":null,"part":"410","title":42},{"chapter":null,"citation_url":null,"part":"411","title":42},{"chapter":null,"citation_url":null,"part":"413","title":42},{"chapter":null,"citation_url":null,"part":"424","title":42},{"chapter":null,"citation_url":null,"part":"484","title":42}],"citation":"65 FR 41128","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective October 1, 2000.","disposition_notes":null,"docket_ids":["HCFA-1059-F"],"dockets":[],"document_number":"00-16432","effective_on":"2000-10-01","end_page":41214,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2000/07/03/00-16432.xml","html_url":"https://www.federalregister.gov/documents/2000/07/03/00-16432/medicare-program-prospective-payment-system-for-home-health-agencies","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/00-16432?publication_date=2000-07-03","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2000-07-03/00-16432/mods.xml","not_received_for_publication":null,"page_length":87,"page_views":{"count":1751,"last_updated":"2026-09-21 14:15:06 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2000-07-03/pdf/00-16432.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2000-07-03","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2000/07/03/00-16432.txt","regulation_id_number_info":{"0938-AJ24":{"issue":"200004","html_url":"https://www.federalregister.gov/regulations/0938-AJ24/home-health-prospective-payment-system-hcfa-1059-f-","title":"Home Health Prospective Payment System (HCFA-1059-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200004&RIN=0938-AJ24&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AJ24"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":41128,"subtype":null,"title":"Medicare Program; Prospective Payment System for Home Health Agencies","toc_doc":"Home health agencies; prospective payment system","toc_subject":"Medicare:","topics":["Emergency medical services","Health facilities","Health professions","Kidney diseases","Laboratories","Medicare","Puerto Rico","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Rule","volume":65}