Effort Launched to Eliminate F2F Documentation Requirements through the Appropriations Process

Full text from NAHC
June 5, 2014 01:15 PM

The Home Care Association of New York State, NAHC’s Forum of State Associations (Forum), and NAHC are spearheading an effort that would provide a simple legislative fix that would offer relief from the onerous Medicare face-to-face (F2F) rule.  They are working to get language inserted into the Appropriations legislation that would simplify the face-to-face requirement. NAHC members with a Representative or Senator on the House and/or Senate Appropriations Committees are urged to contact them to urge their support.

Effort is targeting members of the Appropriations Committees; NAHC Members are encouraged to contact their Members of Congress to urge support


The language would specifically allow for physician certification of the face-to-face requirement on the ‘485,’ or plan-of-care document, in place of a separate, redundant narrative requirement currently being enforced by the Centers for Medicare and Medicaid Services (CMS).

Below is a series of grassroots advocacy resources to support those with members on the Appropriations Committees make the case for the inclusion of this language in appropriations legislation. In addition to calling your House representative, you may send a message developed by the Home Care Association of New York State to support this Appropriations strategy by clicking HERE.

Links for More Information

Urgent: Advocacy Needed to Secure F2F Fix. This advocacy briefing piece spells out the national home care industry advocacy strategy on F2F.

Home Care Face-to-Face Mandate: A Major Problem, a Simple Fix. Use this resource to show Congressional offices how the existing 485/plan-of-care already certifies the patient’s need for home care and could include a simple edit for meeting the face-to-face mandate.

Talking Points on the face-to-face problem and the proposed legislative fix.

The HCA-FSA-NAHC draft legislation to fix F2F. This draft legislation simply states: “Physician documentation of the face to face encounter shall consist solely of a simple and concise confirmation that such encounter occurred and that is provided by notation on the same plan of care document the physician signs to order the home health services required by the patient.”

Below is a list of all the members of the House and Senate Appropriations Committees. If you have members on one or both of these committees, contact them and urge that they support the inclusion of the F2F language in appropriations legislation:


  • Harold Rogers, Kentucky, Chairman
  • Frank R. Wolf, Virginia
  • Jack Kingston, Georgia
  • Rodney P. Frelinghuysen, New Jersey
  • Tom Latham, Iowa
  • Robert B. Aderholt, Alabama
  • Kay Granger, Texas
  • Michael K. Simpson, Idaho
  • John Abney Culberson, Texas
  • Ander Crenshaw, Florida
  • John R. Carter, Texas
  • Ken Calvert, California
  • Tom Cole, Oklahoma
  • Mario Diaz-Balart, Florida
  • Charles W. Dent, Pennsylvania
  • Tom Graves, Georgia
  • Kevin Yoder, Kansas
  • Steve Womack, Arkansas
  • Alan Nunnelee, Mississippi
  • Jeff Fortenberry, Nebraska
  • Tom Rooney, Florida
  • Chuck Fleischmann, Tennessee
  • Jaime Herrera Beutler, Washington
  • David Joyce, Ohio
  • David Valadao, California
  • Andy Harris, MD, Maryland
  • Martha Roby, Alabama
  • Mark Amodei, Nevada
  • Chris Stewart, Utah


  • Nita M. Lowey, New York
  • Marcy Kaptur, Ohio
  • Peter J. Visclosky, Indiana
  • José E. Serrano, New York
  • Rosa L. DeLauro, Connecticut
  • James P. Moran, Virginia
  • Ed Pastor, Arizona
  • David E. Price, North Carolina
  • Lucille Roybal-Allard, California
  • Sam Farr, California
  • Chaka Fattah, Pennsylvania
  • Sanford D. Bishop, Jr., Georgia
  • Barbara Lee, California
  • Adam B. Schiff, California
  • Michael M. Honda, California
  • Betty McCollum, Minnesota
  • Tim Ryan, Ohio
  • Debbie Wasserman Schultz, Florida
  • Henry Cuellar, Texas
  • Chellie Pingree, Maine
  • Mike Quigley, Illinois
  • Bill Owens, New York

Additional resources are available on NAHC’s Legislative Action Network.