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Home health location and billing scope

The six-state demonstration is limited to rendering HHAs in Illinois, Ohio, North Carolina, Florida, Texas and Oklahoma that bill Palmetto GBA. Scope: Program operations only; no individual coverage or medical-necessity determination. Source checked 2026-10-15. Documentary verification only; no clinical review or individual coverage determination.

Prior authorization: unknown. Member-specific applicability must be checked with the payer.
PayerCMS / Medicare
Plan contextOriginal Medicare — reference context only
ServiceHome health review choice
State scopeNot verified
Effective dateNot verified
RevisionSource f4309a13fb0a
Retrieved10/15/2026
EvidenceOpen original source ↗

Source evidence

Documentary checks establish what the official source says, not clinical eligibility.

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Evidence fingerprint: f4309a13fb0a3915eb5470c4fc9bc5422ac6c45f6639dc8ae55ea01191c15e7f