Medicare Learning Matters article (MM9671): "Outlier Limitation on Outpatient Prospective Payment System (OPPS) Community Mental Health Centers (CMHC) Services"

Medicare Learning Matters article (MM9880): "Implementing the Remittance Advice Messaging for the 20 Hour Weekly Minimum for Partial Hospitalization Program Services."  Also see CMS Transmittal 1833.

Medicare Learning Matters article (MM9930): "January 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS)"

CMS subregulatory guidance: "Extraordinary Circumstance Relocation Exception Guidance for an Off-Campus Provider-Based Department"

CMS preliminary guidance on Hospital Outpatient Department provisions in the 21st Century Cures Act

NAPHS comment letter to CMS regarding OPPS final rule with comment period ("Medicare Program: Hospital Outpatient Prospective Payment...Systems and Quality Reporting Programs;...etc.").  Includes comments on 20-hour-per-week partial hospitalization requirement.

CMS final rule with comment period: "Medicare Program: Hospital Outpatient Prospective Payment...Systems and Quality Reporting Programs;...etc." (NOTE: partial hospitalization section begins on p.79678). Also see CMS release and fact sheet.

NAPHS comment letter on proposed rule on Hospital Outpatient Prospective Payment System (OPPS)

CMS proposed rule: "Medicare Program: Hospital Outpatient PPS and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;....EHR Incentive Programs; Payment to Certain Off-Campus Outpatient Departments of a Provider; Hospital Value-Based Purchasing Program" (NOTE: partial hospitalization section begins on p.45667)

NAPHS Alert: "CMS suspends partial hospitalization code edits planned to start 7.1.16." See MLN Matters revision.

NAPHS/AABH letter to CMS detailing concerns with “Enforcement of the Partial Hospitalization Program 20 Hours per Week Billing Requirement” (SE1607)

Medicare Learning Matters article (MM9961): "July 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.2” including planned partial hospitalization code edits

Medicare Learning Matters Special Edition Article (SE1607): "Enforcement of the Partial Hospitalization Program (PHP) 20 Hours per Week Billing Requirement".  [Also see 7.7.16 suspension of July 1, 2016, implementation of code edits.]

NAPHS letter to House Energy and Commerce Committee: "Partial hospitalization should be exempt from site-neutral provision"

CMS final rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY16. 

NAPHS comment letter on proposed Medicare hospital outpatient PPS/partial hospitalization program (OPPS/PHP) rates for CY16

CMS proposed rule on the Medicare hospital outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY16

Center for Medicaid and CHIP Services (CMCS)/SAMHSA informational bulletin on “Coverage of Behavioral Health Services for Youth with Substance Use Disorders”

CMS final rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY15. 

NAPHS comment letter on proposed Medicare hospital outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY15.

CMS proposed rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY15 and OPPS quality measures.

CMS final rule on Medicare Hospital Outpatient Prospective Payment System (including CY14 partial hospitalization rates).  See pages 75045-75054.

NAPHS comment letter on proposed Medicare hospital outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY14

CMS proposed rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY14. Also see 9.6.13 correction.

OIG Report: "Vulnerabilities in CMS's and Contractors' Activities To Detect and Deter Fraud in Community Mental Health Centers" (OEI-04-11-00101) 

CMS final rule with comment period: "CMS-1589-FC: Medicare: Hospital Outpatient Prospective Payment System..." (including CY13 partial hospitalization rates, pages 68404-68418).

NAPHS comment letter on proposed Medicare hospital outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY13 [View]

OIG report on "Questionable Billing by Community Mental Health Centers" [View]

CMS final decisions on the recommendations of the Hospital Outpatient Payment Panel on supervision levels for select services (also see 5/18/12 NAPHS comment letter) [View]

NAPHS comment letter on CMS' preliminary decisions on the recommendations of the Hospital Outpatient Panel on Supervision Levels for Select Services

MedLearn Matters article (MM7672): January 2012 Update of the Hospital Outpatient Prospective Payment System [View]

CMS final rule: "Medicare Hospital Outpatient Prospective Payment, etc." including partial hospital rates for 2012 (see pages 74346-74352) [View]

CMS clarifies outpatient supervision policy (Transmittal 128) [View]

Tricare final rule: Hospital-based psychiatric partial hospital programs (TRICARE approval of a hospital is sufficient for its psychiatric partial hospitalization program to be an authorized TRICARE provider) [View]

Medically unnecessary edits (MUEs) for certain partial hospitalization codes [View]

Recurring: CMS: outpatient PPS pricers (check periodically for most recent) [View]