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Fact Sheet: Extending the Hospital-at-Home Program
The hospital-at-home (H@H) model — where patients receive acute-level care in their homes, rather than in a hospital — has emerged as an innovative and promising approach to providing high-quality care to patients in the comfort of their homes. In the Consolidated Appropriations Act of 2023 (CAA 2023), Congress included a two-year extension of this waiver, which received no score from the Congressional Budget Office. Congressional action is needed to extend the waivers for this program, which are set to expire Dec. 31, 2024. To allow hospitals and health systems the ability to respond to the COVID-19 pandemic effectively and efficiently, the Centers for Medicare & Medicaid Services (CMS) provided a number of waivers and flexibilities that eased several Medicare restrictions and requirements.
Medigy Insights
To receive approval to participate in the H@H program hospitals must submit an individual waiver request to CMS. The request specifically asks CMS to waive §422.23(b) and (b)(1) of the Medicare Conditions of Participation, which require nursing services to be provided on premises 24 hours a day, seven days a week, as well as the immediate availability of a registered nurse for the care of any patient. Once the waiver request is received, CMS divides the applications into two categories, allowing moreexperienced hospitals a quicker approval process so they can rapidly expand their H@H program; lessexperienced hospitals have to demonstrate they are capable of meeting the requirements associated with the provision of H@H services.
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Extend the Hospital-at-Home Waiver Before It's Too Late
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