Home Health Pricing Services

The Department of Veterans Affairs (VA) proposes to amend its regulation and internal policy documents concerning the billing methodology for non-VA providers of home health services and hospice care. The proposed rulemaking (AN98) would include home health services and hospice care under the VA regulation governing payment for other non-VA health care providers. Because the newly applicable methodology cannot supersede rates for which VA has specifically contracted, this rulemaking will only affect providers who do not have existing negotiated contracts with VA.



The AN98 Final Rule, Payment for Home Health Services and Hospice Care to Non-VA Providers, has been published in the Federal Register Table of Contents with an effective date of November 15, 2013. The scope of this Statement of Objectives (SOO) is to insure a consistent, holistic claims processing and pricing implementation



The scope of this project also includes an assessment of the current HH pricing methodology and associated claims processing. The assessment of the current HH pricing methodology will include a proposed future state pricing methodology and recommendation on how this can be best attained. This will also support and be aligned with the proposed future state HH Services process.