Continuous 60-Day Recertifications

10.3 - Continuous 60-Day Recertifications (Rev. 265, Issued: 01-10-20, Effective: 01-01-20, Implementation: 02-11-20) While HH PPS payment is now made for each 30-day period, the home health PPS permits continuous 60-day recertifications for patients who continue to be eligible for the home health benefit. Medicare does not limit the number of continuous 60-day recertifications for beneficiaries who continue to be eligible for the home health benefit. Each 60-day certification can include two 30-day payment periods. Recertification is required at least every 60 days when there is a need for continuous home health care after an initial 60-day certification. The recertification visit can be done during the prior certification period. With some minor exceptions, the Medicare Conditions of Participation at 42 CFR 484.55(d)(1), require that the recertification assessment be done during the last 5 days of the previous certification period (for example, during the initial 60-day certification period, the recertification visit is required to be done on days 56-60).