Key point: 'May' versus 'shall.' Here's the Bipartisan Budget Act language specifying the home health documentation change: "For purposes of documentation for physician certification and recertification ... on or after January 1, 2019, and made with respect to home health services furnished by a home health agency, in addition to using documentation in the medical record of the physician who so certifies or the medical record of the acute or post-acute care facility (in the case that home health services were furnished to an individual who was directly admitted to the home health agency from such a facility), the Secretary may use documentation in the medical record of the home health agency as supporting material, as appropriate to the case involved." Note: A link to the BBA 18 text is at www.congress.gov/bill/115th-congress/house-bill/1892/text.