(Special Requirements for Home Health Agencies) -

10.3.1.1.8 – Section 12 (Special Requirements for Home Health Agencies) - Form CMS-855A (Rev. 11839; Issued: 02-09-23; Effective: 04-21-23; Implementation: 06-19-23) (Regarding the Special Requirements for Home Health Agencies section of the Form CMS- 855A, see section 10.2.1.6(F) of this chapter. Except as otherwise stated, the PECOS policies in section 10.3 supersede those in section 10.2.1.6(F).) If it is obvious that the entity is not enrolling as an HHA, the checkbox above this section can be left blank. If the entity is an HHA: (i) If the Special Requirements for Home Health Agencies/Type of Home Health Agency or Financial Documentation sections is/are blank, the contractor can verify the data with the provider via telephone, e-mail, the PCV, or fax. (ii) If the telephone number in the Special Requirements for Home Health Agencies section is blank, the contractor can verify the data with the provider via telephone, e-mail, the PCV, or fax.