Introducing Home Health 101

Introducing Home Health 101, our new online orientation for home health clinicians and managers, with a focus on compliance regulation.

Have you hired staff new to home health care? Need a refresher on the basics of home health compliance? Due for a review on the latest regulation changes?

As the Alliance’s director of clinical and regulatory affairs, I’m often asked these questions from members looking to ensure that their clinical staff and managers have the tools they need to successfully navigate the regulatory challenges they’ll face in home health. In the past, I’ve done in-person presentations on this material but now—to ensure that even more people have access to it—I’m pleased to announce that Home Health 101 is available digitally for the first time.

In Home Health 101, I highlight the Conditions of Participation standards (COPs), Medicare regulations related to the survey process, and how the survey process works. 5 CEU credits are available (for a small processing fee) to those who complete the course and pass an evaluation.

Objectives include how to:

  • Review the Home Health’s Conditions of Participation (COPs);
  • Identify three of the five criteria for Medicare certification for home health benefit;
  • Understand Requirements for Physician Orders and Face-to-Face (F2F);
  • Identify Medicare’s definitions of “confined to home”; and
  • Review patient notices.

The program is broken into five sections:

  • Part 1: Orientation to Home Health
  • Part 2: Conditions of Participation (CoPs)
  • Part 3: Patient Notices
  • Part 4: Conditions of Participation, Contin.
  • Part 5: Skilled Professional Services and HHA Services

What’s Coming up for HCA Educational Events

The Home Care Alliance is getting busy with upcoming meetings, webinars, and conferences. Each week be sure to check out our posts about one of our great educational events!

Check out what is in store in the upcoming months below!


February 10: Face to Face Update Webinar
Presented by HCA of MA Staff
February 12: Infection Control: Part 1 of Series: “Hot Topics in Home Care”
Sturbridge Host Hotel, 9:30AM-11:30AM
Including Deb Wilson (Nurse in Doctors Without Borders)
&Select Panelists
Feb.18, Mar. 4&18: Maintenance Therapy 3- Part Webinar Series
Presented by Cindy Krafft
February 25: Legal Breakfast: Complying with the MA Sick Leave Law
Presented by Attorneys Allyson Kurker and Margaret Paget
Sheraton Framingham, Framingham, MA
February 26: Advanced Coding Webinar
Presented by Joan Usher, JLU Health
April 16-19: Skin & Wound Management Course
Presented by Wound Care Education Institute
Woburn, MA
April 28: Innovation Showcase & STAR Awards
Revere Hotel, Boston, MA


April 15-16: ICD-10 Coding Conference
Four Points by Sheraton Norwood
Presented by Lisa Selman-Holman
May 19-21: New England Home Care & Hospice Conference & Trade Show
Radisson Hotel Manchester
Manchester, NH
September 23-25: Blueprint for Oasis
Location TBD

Contact Megan Fournier at or 617-482-8830 for more information on upcoming events.
Interested in sponsoring one of the numerous educational events? Contact us to find out how!

Urgent: Your Advocacy Needed on F2F Fix Now

We cant fix it without your help!!!

The Home Care Alliance of Massachusetts is working nationally on new strategy for a F2F fix in the House Appropriations Committee.

The Alliance, along with the Forum of State Home Care Associations (FSA) of the National Association for Home Care and Hospice (NAHC), is pushing on a unified front for a simple legislative fix that would provide relief from the onerous Medicare face-to-face (F2F) rule.

The  legislation would specifically allow for physician certification of the face-to-face requirement on the ‘485,’ or plan-of-care document, in place of a separate, redundant narrative requirement currently being enforced by the U.S. Centers for Medicare and Medicaid Services (CMS).

What we need from you!

Massachusetts has no Congressional representative on the House Appropriations Committee, which is where we are trying to get the language introduced.   

All HCA members should urge their Congressional representatives to reach out to House Appropriations Committee Ranking Member Nita Lowey (D-NY) seeking assurances that the face-to-face fix is included in the House Appropriations bill.

The best way to reach your Congressional Representative is to call the main switchboard at (202) 224-3121.

In addition to calling your House representative, every Alliance member should send an e-mail.  This process will only take a minute of your time. Click HERE to send a message to Congress with a push of the button.

Script for Phone Call or email

Please Help Home Care:  Insert F2F Fix in Appropriations Bill

The home care industry needs your help to fix the face-to-face encounter rule. This federal rule requires a physician to certify that he or she has seen a home care patient face-to-face for authorization of home care services. The problem is not so much the requirement itself, but CMS’  interpretation of the requirement, and its expectations for physicians to document it. A simple line of legislative language would clarify Congress’ intent for the regulation to be met with the least disruption in patient care services.

Please work with your Congressional Colleagues on the Appropriations Committee to advance this vital legislation. If you need, I would be happy to forward the draft legislation, along with further background information, to your office.

Links for More Information

Home Care Face-to-Face Mandate: A Major Problem, a Simple Fix. Use this resource to show Congressional offices how the existing 485/plan-of-care already certifies the patient’s need for home care and could include a simple edit for meeting the face-to-face mandate.

The HCA-FSA-NAHC draft legislation to fix F2F. This draft legislation simply states: “Physician documentation of the face to face encounter shall consist solely of a simple and concise confirmation that such encounter occurred and that is provided by notation on the same plan of care document the physician signs to order the home health services required by the patient.”

Thank you for your help.

Return to


Summary of Conference Call WIth Senior CMS Officials on the Face-to-Face Rule

On May 20th, the Home Care Alliance of MA, along with several member agencies, physicians and a representative from the MA Medical Society had the opportunity to speak to a number of officials at CMS regarding problems with the face to face rule.  Among those on the call from CMS were: Laurence Wilson, Director, Chronic Care Policy Group;  Carol Blackford, Deputy Director, Chronic Care Policy Group and Randy Throndset, Director, Division of Home Health and Hospice.

Below is the summary of the meeting and our suggested fixes as sent to the CMS officials in a follow-up email.  Thank you to members Judy Flynn and Dr Mark Yurkofsky, Partners Health Care at Home; Robin Seidman, Metrowest Home Care & Hospice; Dr Richard Lopez and Keren Diamond, Atrius Health/VNA Care Network/VNAB,  Jeanne Ryan, VNA & Hospice of Cooley Dickinson, and Alex Calcagno, Mass Medical Society for participating and making such a strong presentation. Continue reading “Summary of Conference Call WIth Senior CMS Officials on the Face-to-Face Rule”

%d bloggers like this: