Maryland Academy of Advanced Practice Clinicians

Nurse Practitioners to sign home care orders for Medicare patients in Maryland

Posted 7 months ago by Elaine Crain

This announcement has 1 attachment:

Home Health Orders for Nurse Practitioners under the Maryland Total Cost of Care Model

Calling All Home Health Agencies, Nurse Practitioners & Referral Sources!

MNCHA is hosting 3 free events with a seasoned Home Health Nurse Practitioner to learn more about this important development. Please see the dates and locations below to RSVP.


Under the new “Maryland Total Cost of Care Model,” Maryland will be expected to progressively transform care delivery across the health care system with the objective of improving health and quality of care. Through the Stakeholders Innovation Group on which MNCHA has a seat, the Home Health Orders for Nurse Practitioners waiver has been created and will go into effect on January 1, 2020. 

With a few important restrictions, this waiver will allow Nurse Practitioners in Maryland to sign home care orders for Medicare patients in Maryland.   

CR 11330 will enable all Medicare-enrolled nurse practitioners in Maryland to certify home health services for Medicare beneficiaries as part of the Maryland Total Cost of Care (TCOC) Model. This will apply to services that the nurse practitioners provide on and after January 1, 2020. Make sure your billing staffs are aware of these changes.  

 Restrictions to the aforementioned waiver include the following:
1. The Nurse Practitioner must practice in Maryland
2. The Nurse Practitioner must be registered in PECOS
3. The patient must reside in Maryland
4. The patient must be a Medicare recipient
5. The patient must meet all homecare requirements
6. No other payers are included in this waiver at this time

MNCHA is working with CGS – the Medicare Intermediary to work towards a smooth claims submission process for home health agencies. More information on this topic will be released as progress is made.

For more information on the waiver click here.

The events are free, but registration is required, and space is limited. Click to register below:

Tuesday, November 19, 2019
10:00 AM - 12:30 PM
Howard County Library Savage Branch,  Leonardo Da’Vinci Room
9525 Durness Lane, Laurel, MD 20723

Wednesday, November 20, 2019
2:00 PM – 4:00 PM 
South Bowie Library 
15301 Hall Road, Bowie, MD 20721

Wednesday, November 20, 2019
6:00 PM - 8:00 PM
Christian Community Presbyterian Church, Dodd’s Hall
3120 Belair Drive, Bowie, MD 20715