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Manual Updates Regarding Home Health Adjustments and Skilled Nursing Facility, Home Health and Hospice Pricer Information

The purpose of this Change Request (CR) is to update instructions regarding adjustments to home health claims when a beneficiary is unexpectedly discharged after a 'Still Patient' claim has been submitted.  It also revises and deletes sections of the Medicare Claims Processing Manual that contain Pricer information to reflect the conversion of these programs from mainframe COBOL to Java in the Cloud. 

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 21, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.