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:
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.