Home Health

Each home health agency is reimbursed a specific rate per visit for covered services. Effective for dates of service July 1, 2003, reimbursement rates were reduced by 10%.

Each agency must submit to the Department of Community Health an electronic copy of its as-filed Medicare Cost Report and a completed and signed Medicaid Cost Data Form. The cost data forms are outlined in Appendices C (freestanding) and D (hospital based) of Part II Policies and Procedures for Home Health Services.

A Home Health Agency (HHA) is an agency or organization which:

  • Is primarily engaged in providing skilled nursing services and other therapeutic services;
  • Has policies established by a group of professionals (associated with the agency or organization), including one or more physicians and one or more registered professional nurses, to govern the services which it provides;
  • Provides for supervision of the above-mentioned services by a physician or registered professional nurse;
  • Maintains clinical records on all patients;
  • Is licensed pursuant to State or local law, or has approval as meeting the standards established for licensing by the State or locality;
  • Has in effect an overall plan and budget for institutional planning;
  • Meets the federal requirements in the interest of the health and safety of individuals who are furnished services by the HHA; and
  • Meets additional requirements as the Secretary finds necessary for the effective and efficient operation of the program.

Centers for Medicare & Medicaid (CMS) Cost Reports 

The Medicare Cost Reports for Home Health (Free standing and Hospital-based) providers are located in the Provider Reimbursement Manual.

The Medicaid Home Health Manual Chapter 1000, Appendix C, and Appendix D are located on the Provider Portal. See electronic version of the Cost Data Forms and General Instructions for Completing Appendices C and D below:

Download this pdf file. General Instructions

Download this xls file. Appendix C - Freestanding providers

Download this xls file. Appendix D - Hospital-based providers  

Each Georgia home health agency and any other component(s) of the home office organization must provide a summary of cost information by completing the Home Office Cost Data Form below:

Download this pdf file. Home Office Cost Data Form

For more information, click here: Download this pdf file. Frequently Asked Questions

Contacts

Michael Henderson

Financial Analyst Supervisor

(404) 651-7895

[email protected]

Angelica Clark

Senior Manager

(404) 463-2956

[email protected]

Kim Morris

Director of Reimbursement

(404) 657-0229

[email protected]