CMS Pub. 100-04, ch. 10, § 100

A physician may suspend visits for a time to determine whether the patient has recovered

sufficiently to do without further home health services. When the suspension is

temporary (does not extend beyond the end date of the 60-day certification period) and

the physician later determines that the services must be resumed, the resumed services are

paid as part of the same or subsequent 30-day period of care and under the same plan of

care as before. The admission date remains the same on any claims. No special

indication need be made on the claim(s) for the period of suspended services.

Explanation of the suspension need be indicated only in the medical record.

If the suspension extends beyond the end of the current 60-day certification, HHAs must

submit a discharge claim. Full payment will be due for the period of care. If the

beneficiary resumes care, the HHA must establish a new plan of care and submit an NOA

for a new admission.