Payment policy

Home health payment

11/24/2021

Patient-Driven Groupings Model (PDGM)

The Centers for Medicare & Medicaid Services (CMS) implemented the Patient-Driven Groupings Model (PDGM) on January 1, 2020. Payments under PDGM are determined by patient characteristics rather than the number of therapy visits.

AOTA member spotlight: Mary Walsh-Sterup, OTR/L, CHT

April 12, 2024

Mary Walsh-Sterup, OTR/L, CHT, is an Occupational Therapist and Partner at Central Nebraska Rehab Services. She spoke to Jamar Haggans, MS, OTR/L, Director of Quality at AOTA about her current position and how she became interested in quality.

medicare

Forging a path to improved dementia care management and outcomes: CMMI announces GUIDE initiative

August 23, 2023

Medicare

CMS announces Medicare dementia care model

August 01, 2023

Following significant direct input and advocacy from AOTA members and staff over the past year, the Centers for Medicare & Medicaid Services (CMS) announced a new voluntary nationwide care model – the Guiding an Improved Dementia Experience (GUIDE) Model on July 31, 2023. The GUIDE Model aims to improve the quality of life for people living with dementia, reduce strain on unpaid caregivers, and help people remain in their homes and communities through a package of care coordination and management, caregiver education and support, and respite services.

Patient-Driven Groupings Model (PDGM)

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