Plus: Say goodbye to some quality measures. A host of Home Health Quality Reporting Program changes are coming your way in 2022 and beyond, as well as a possibly final implementation date for OASIS-E. Recap: Last year, the Centers for Medicare & Medicaid Services bumped OASIS-E from its Jan. 1, 2021 start date to give agencies a break during the COVID-19 public health emergency. “HHAs will be required to use OASIS-E … beginning with discharges and transfers on January 1st of the year that is at least 1 full calendar year after the end of the COVID-19 PHE,” CMS said in an interim final rule published in the May 8, 2020 Federal Register. In April 2021, CMS confirmed to AAPC that it was sticking with its originally announced implementation date for the next version of OASIS (see HCW by AAPC, Vol. XXX, No. 16). Now the home health payment proposed rule for 2022 puts that date at Jan. 1, 2023 — probably.
“We are proposing to revise the compliance date” for OASIS-E to “January 1, 2023, which is a two-year delay from this original compliance date finalized in the CY 2020 HH PPS final rule,” CMS notes in the proposes rule published in the July 7 Federal Register. The new date “balances the support that HHAs needed during much of the COVID-19 PHE as CMS provided flexibilities to support HHAs along with the need to collect this important data.” OASIS-E will contain items for the Transfer of Health Information to Provider-PAC measure, Transfer of Health Information to Patient-PAC measure, and “certain Standardized Patient Assessment Data Elements” (SPADEs), the rule adds. CMS also plans to remove and replace some quality measures, it says. And it’s soliciting feedback on “ways to attain health equity for all patients through policy solutions” focusing on quality data, according to the rule fact sheet.