US · guidance
CMS Pub. 100-04, ch. 10, § 10.1.16
Payment When Death Occurs During an HH PPS Episode/Period
If a beneficiary dies during a period of care, full payment will be made for the period,
including payment adjustments applicable to given services actually delivered prior to
death. However, there is one exception. Partial period payment adjustments will not
apply to the claim, because no more home care can be delivered in the 30-day period.
The Statement Covers Period “through” date on the claim in which the beneficiary died
should be the date of death. Such claims may be submitted earlier than the 30th day of
the period of care.
History
(Rev. 10758; Issued: 05-11-21; Effective: 01-01-22; Implementation: 08-11-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c1bed4aea8023396d77e4f1e1189c97751f9b89fa9bb9ae3e639a14f1ef0c86e
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