Last update: October 15, 2021
Effective Nov. 1, 2021, UnitedHealthcare is accepting the Centers for Medicare & Medicaid Services (CMS) Acute Hospital Care at Home program waiver for qualifying Medicare claims. We will accept the waiver from Nov. 1, 2021 through the last day of the COVID-19 national public health emergency period, when it is announced.
Facility participation requirements
To participate in the Acute Hospital Care at Home program with UnitedHealthcare, facilities must have:
Eligible health plans
The following UnitedHealthcare plans are in scope for participation in Acute Hospital Care at Home:
The following UnitedHealthcare plans are out of scope for participation in Acute Hospital Care at Home:
Program background
The Acute Hospital Care at Home program was designed help more patients receive care at a time when many hospitals are overburdened due to the COVID-19 national public health emergency. To facilitate the goal of increasing hospital capacity and improving resource allocation, CMS waived a previous Medicare Conditions of Participation requirement. This allows qualifying hospitals to receive inpatient payment for providing acute inpatient level of care services to Medicare beneficiaries in their homes.
Questions?
For detailed billing guidance on this initiative, review the Acute Hospital Care at Home webpage or visit UHCprovider.com/COVID19.