October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies, and Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care

Medicare and Medicaid Programs; Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies, and Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care

Final

Proposed rule published November 3, 2015. Comments closed January 4, 2016. Final rule published November 2, 2018, effective November 29, 2019.

Docket
CMS-3317
RIN
0938-AS59
Documents
3 documents, November 3, 2015 to September 30, 2019
Amends
42 CFR parts 482, 484, 485

Documents

Oldest first

  1. November 3, 2015

    Comments closed

    Proposed rule, CMS-3317-P, 80 FR 68126, 30 pages

    Comments closed January 4, 2016.

    CMS's summary

    “This proposed rule would revise the discharge planning requirements that Hospitals, including Long-Term Care Hospitals and Inpatient Rehabilitation Facilities, Critical Access Hospitals, and Home Health Agencies must meet in order to participate in the Medicare and Medicaid programs. The proposed rule would also implement the discharge planning requirements of the Improving Medicare Post-Acute Care Transformation Act of 2014.”

    Dates

    “To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on January 4, 2016.”
  2. November 2, 2018

    Final rule

    Extension of timeline for publication of a final rule, CMS-3317-RCN, 83 FR 55105, 2 pages

    Effective November 2, 2018.

    CMS's summary

    “This document announces the extension of the timeline for publication of the "Medicare and Medicaid Program; Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies" final rule. We are issuing this document in accordance with section 1871(a)(3)(B) of the Social Security Act (the Act), which requires notice to be provided in the Federal Register if there are exceptional circumstances that cause us to publish a final rule more than 3 years after the publication date of the proposed rule. In this case, the complexity of the rule and scope of public comments warrants the extension of the timeline for publication.”

    Dates

    “This extension is effective on November 2, 2018.”
  3. September 30, 2019

    Final rule

    Final rule, CMS-3317-F and CMS-3295-F, 84 FR 51836, 49 pages

    Effective November 29, 2019.

    CMS's summary

    “This final rule empowers patients to be active participants in the discharge planning process and complements efforts around interoperability that focus on the seamless exchange of patient information between health care settings by revising the discharge planning requirements that Hospitals (including Short-Term Acute-Care Hospitals, Long-Term Care Hospitals (LTCHs), Rehabilitation Hospitals, Psychiatric Hospitals, Children's Hospitals, and Cancer Hospitals), Critical Access Hospitals (CAHs), and Home Health Agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. This final rule also implements discharge planning requirements which will give patients and their families access to information that will help them to make informed decisions about their post-acute care, while addressing their goals of care and treatment preferences, which may ultimately reduce their chances of being re-hospitalized. It also updates one provision regarding patient rights in hospitals, intended to promote innovation and flexibility and to improve patient care.”

    Dates

    “These regulations are effective on November 29, 2019.”

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