{"id":5416,"date":"2018-07-03T20:46:53","date_gmt":"2018-07-03T20:46:53","guid":{"rendered":"http:\/\/tele.healthcare\/?p=5416"},"modified":"2018-07-03T20:46:53","modified_gmt":"2018-07-03T20:46:53","slug":"medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/","title":{"rendered":"Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02"},"content":{"rendered":"<p>[Billing Code: \u00a04120-01-P]<\/p>\n<h2>DEPARTMENT OF HEALTH AND HUMAN SERVICES<\/h2>\n<p><strong>\u00a0<\/strong><strong>Centers<\/strong> <strong>for<\/strong> <strong>Medicare<\/strong> <strong>&amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 [CMS-1689-P]<\/strong><\/p>\n<p><strong>RIN<\/strong> <strong>0938-AT29<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Medicare<\/strong> <strong>and<\/strong> <strong>Medicaid<\/strong> <strong>Programs;<\/strong> <strong>CY<\/strong> <strong>2019<\/strong> <strong>Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations<\/strong><\/p>\n<p><strong>AGENCY: \u00a0<\/strong>Centers for Medicare &amp; Medicaid Services (CMS), HHS.<\/p>\n<p><strong>ACTION:<\/strong><strong> \u00a0<\/strong>Proposed rule.<\/p>\n<p><strong>SUMMARY:<\/strong><strong> \u00a0<\/strong>This proposed rule would update the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2019. \u00a0It also proposes updates to the HH PPS case-mix weights for calendar year (CY) 2019 using the most current, complete data available at the time of rulemaking; discusses our efforts to monitor the potential impacts of the rebasing adjustments that were implemented in CYs 2014 through 2017; proposes a rebasing of the HH market basket (which includes a decrease in the labor-related share); proposes the methodology used to determine rural add-on payments for CYs 2019 through 2022, as required by section 50208 of the Bipartisan Budget Act of 2018 hereinafter referred to as the \u201c BBA of 2018\u201d ;<\/p>\n<p>proposes regulations text changes regarding certifying and recertifying patient eligibility for Medicare home health services; and proposes to define \u201c remote patient monitoring\u201d and recognize the cost associated as an allowable administrative cost. \u00a0Additionally, it proposes case-mix methodology refinements to be implemented for home health services beginning on or after January 1, 2020, including a change in the unit of payment from 60- day episodes of care to 30-day periods of care, as required by section 51001 of the BBA \u00a0of 2018; includes information on the implementation of temporary transitional payments for home infusion therapy services for CYs 2019 and 2020, as required by section 50401 of the BBA of 2018; solicits comments regarding payment for home infusion therapy services for CY 2021 and subsequent years; proposes health and safety standards for home infusion therapy; and proposes an accreditation and oversight process for home infusion therapy suppliers. \u00a0This rule proposes changes to the Home Health Value-Based Purchasing (HHVBP) Model to remove two OASIS-based measures, replace three<\/p>\n<p>OASIS-based measures with two new proposed composite measures, rescore the maximum number of improvement points, and reweight the measures in the applicable measures set. \u00a0Also, the Home Health Quality Reporting Program provisions include a discussion of the Meaningful Measures Initiative and propose the removal of seven measures to further the priorities of this initiative. \u00a0In addition, the HH QRP offers a discussion on social risk factors and an update on implementation efforts for certain provisions of the IMPACT Act. \u00a0This proposed rule clarifies the regulatory text to note that not all OASIS data is required for the HH QRP. \u00a0Finally, it would require that accrediting organization surveyors take CMS-provided training.<\/p>\n<p>Proposed Rule Pages 1-200 in .pdf<\/p>\n<p>[pdf-embedder url=&#8221;https:\/\/mtelehealth.com\/wp-content\/uploads\/2018\/07\/Medicare-and-Medicaid-Programs-CY-2019-Home-Health-Prospective-Payment-System-Update-Proposed-Rule-2018-07-02-pages-1-200.pdf&#8221; title=&#8221;Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02 &#8211; pages 1-200&#8243;]<\/p>\n<p>Proposed Rule Pages 201-400 in .pdf<\/p>\n<p>[pdf-embedder url=&#8221;https:\/\/mtelehealth.com\/wp-content\/uploads\/2018\/07\/Medicare-and-Medicaid-Programs-CY-2019-Home-Health-Prospective-Payment-System-Update-Proposed-Rule-2018-07-02-pages-201-400.pdf&#8221; title=&#8221;Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02 &#8211; pages 201-400&#8243;]<\/p>\n<p>Proposed Rule Pages 401-600 in .pdf<\/p>\n<p>[pdf-embedder url=&#8221;https:\/\/mtelehealth.com\/wp-content\/uploads\/2018\/07\/Medicare-and-Medicaid-Programs-CY-2019-Home-Health-Prospective-Payment-System-Update-Proposed-Rule-2018-07-02-pages-401-600.pdf&#8221; title=&#8221;Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02 &#8211; pages 401-600&#8243;]<\/p>\n<p>Proposed Rule Pages 1-600 in .docx<\/p>\n<p>[gview file=&#8221;https:\/\/mtelehealth.com\/wp-content\/uploads\/2018\/07\/Medicare-and-Medicaid-Programs-CY-2019-Home-Health-Prospective-Payment-System-Update-Proposed-Rule-2018-07-02.docx&#8221;]<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[Billing Code: \u00a04120-01-P] DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":4246,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,186,141,143],"tags":[287,300,314,490,498,501],"class_list":["post-5416","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-medicare","category-reimbursement","category-remote-patient-monitoring","tag-bipartisan-budget-act-of-2018","tag-centers-for-medicare-and-medicaid-services-cms","tag-cms","tag-proposed-rule","tag-reimbursement","tag-remote-patient-monitoring"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medicare and Medicaid Programs - CY 2019 Home Health Prospective Payment System Update - Proposed Rule - 2018-07-02 &#183; Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29 \u00a0 Medicare\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medicare and Medicaid Programs - CY 2019 Home Health Prospective Payment System Update - Proposed Rule - 2018-07-02 &#183; Dr. Miltie, LLC - At-Home Testing\" \/>\n<meta property=\"og:description\" content=\"DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29 \u00a0 Medicare\" \/>\n<meta property=\"og:url\" content=\"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Miltie, LLC - At-Home Testing\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/DrMiltie\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-03T20:46:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2023\/10\/Dr.-Miltie-Icon2-Original.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1075\" \/>\n\t<meta property=\"og:image:height\" content=\"1075\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Marc Poulshock\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@DrMiltie\" \/>\n<meta name=\"twitter:site\" content=\"@DrMiltie\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Marc Poulshock\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/\"},\"author\":{\"name\":\"Marc Poulshock\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#\\\/schema\\\/person\\\/a9b2480e6f8fef0ba9016069088f496a\"},\"headline\":\"Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02\",\"datePublished\":\"2018-07-03T20:46:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/\"},\"wordCount\":642,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/wp-content\\\/uploads\\\/2017\\\/05\\\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg\",\"keywords\":[\"Bipartisan Budget Act of 2018\",\"Centers for Medicare and Medicaid Services (CMS)\",\"CMS\",\"Proposed Rule\",\"Reimbursement\",\"Remote Patient Monitoring\"],\"articleSection\":[\"Blog\",\"Centers for Medicare &amp; Medicaid Services (CMS) - Medicare\",\"Reimbursement\",\"Remote Patient Monitoring\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/\",\"url\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/\",\"name\":\"Medicare and Medicaid Programs - CY 2019 Home Health Prospective Payment System Update - Proposed Rule - 2018-07-02 &#183; Dr. Miltie, LLC - At-Home Testing\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/wp-content\\\/uploads\\\/2017\\\/05\\\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg\",\"datePublished\":\"2018-07-03T20:46:53+00:00\",\"description\":\"DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29 \u00a0 Medicare\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#primaryimage\",\"url\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/wp-content\\\/uploads\\\/2017\\\/05\\\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg\",\"contentUrl\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/wp-content\\\/uploads\\\/2017\\\/05\\\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg\",\"width\":769,\"height\":495},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#website\",\"url\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/\",\"name\":\"Dr. Miltie, LLC\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#organization\",\"name\":\"Dr. Miltie, LLC\",\"url\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/Dr.-Miltie-Icon2-Original.jpg\",\"contentUrl\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/Dr.-Miltie-Icon2-Original.jpg\",\"width\":1075,\"height\":1075,\"caption\":\"Dr. Miltie, LLC\"},\"image\":{\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/DrMiltie\",\"https:\\\/\\\/x.com\\\/DrMiltie\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UC0lrucdSUphl465VnBBCmIQ\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/dr-miltie\\\/\",\"https:\\\/\\\/g.page\\\/r\\\/Cay-6AjfEVO2EBM\\\/review\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/#\\\/schema\\\/person\\\/a9b2480e6f8fef0ba9016069088f496a\",\"name\":\"Marc Poulshock\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5cd217ade3f900dbd12cce5155f3011ff6da1e8de5f6fee155a9873a35fecc70?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5cd217ade3f900dbd12cce5155f3011ff6da1e8de5f6fee155a9873a35fecc70?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5cd217ade3f900dbd12cce5155f3011ff6da1e8de5f6fee155a9873a35fecc70?s=96&d=mm&r=g\",\"caption\":\"Marc Poulshock\"},\"url\":\"https:\\\/\\\/drmiltie.com\\\/at-home-testing\\\/author\\\/thedishman\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Medicare and Medicaid Programs - CY 2019 Home Health Prospective Payment System Update - Proposed Rule - 2018-07-02 &#183; Dr. Miltie, LLC - At-Home Testing","description":"DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29 \u00a0 Medicare","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/","og_locale":"en_US","og_type":"article","og_title":"Medicare and Medicaid Programs - CY 2019 Home Health Prospective Payment System Update - Proposed Rule - 2018-07-02 &#183; Dr. Miltie, LLC - At-Home Testing","og_description":"DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29 \u00a0 Medicare","og_url":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/","og_site_name":"Dr. Miltie, LLC - At-Home Testing","article_publisher":"https:\/\/www.facebook.com\/DrMiltie","article_published_time":"2018-07-03T20:46:53+00:00","og_image":[{"width":1075,"height":1075,"url":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2023\/10\/Dr.-Miltie-Icon2-Original.jpg","type":"image\/jpeg"}],"author":"Marc Poulshock","twitter_card":"summary_large_image","twitter_creator":"@DrMiltie","twitter_site":"@DrMiltie","twitter_misc":{"Written by":"Marc Poulshock","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#article","isPartOf":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/"},"author":{"name":"Marc Poulshock","@id":"https:\/\/drmiltie.com\/at-home-testing\/#\/schema\/person\/a9b2480e6f8fef0ba9016069088f496a"},"headline":"Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02","datePublished":"2018-07-03T20:46:53+00:00","mainEntityOfPage":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/"},"wordCount":642,"commentCount":0,"publisher":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/#organization"},"image":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#primaryimage"},"thumbnailUrl":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg","keywords":["Bipartisan Budget Act of 2018","Centers for Medicare and Medicaid Services (CMS)","CMS","Proposed Rule","Reimbursement","Remote Patient Monitoring"],"articleSection":["Blog","Centers for Medicare &amp; Medicaid Services (CMS) - Medicare","Reimbursement","Remote Patient Monitoring"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/","url":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/","name":"Medicare and Medicaid Programs - CY 2019 Home Health Prospective Payment System Update - Proposed Rule - 2018-07-02 &#183; Dr. Miltie, LLC - At-Home Testing","isPartOf":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/#website"},"primaryImageOfPage":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#primaryimage"},"image":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#primaryimage"},"thumbnailUrl":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg","datePublished":"2018-07-03T20:46:53+00:00","description":"DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services 42 CFR Parts 409, 424, 484, 486, and 488 RIN 0938-AT29 \u00a0 Medicare","breadcrumb":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#primaryimage","url":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg","contentUrl":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg","width":769,"height":495},{"@type":"BreadcrumbList","@id":"https:\/\/drmiltie.com\/at-home-testing\/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-update-proposed-rule-2018-07-02\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/drmiltie.com\/at-home-testing\/"},{"@type":"ListItem","position":2,"name":"Medicare and Medicaid Programs &#8211; CY 2019 Home Health Prospective Payment System Update &#8211; Proposed Rule &#8211; 2018-07-02"}]},{"@type":"WebSite","@id":"https:\/\/drmiltie.com\/at-home-testing\/#website","url":"https:\/\/drmiltie.com\/at-home-testing\/","name":"Dr. Miltie, LLC","description":"","publisher":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/drmiltie.com\/at-home-testing\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/drmiltie.com\/at-home-testing\/#organization","name":"Dr. Miltie, LLC","url":"https:\/\/drmiltie.com\/at-home-testing\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/drmiltie.com\/at-home-testing\/#\/schema\/logo\/image\/","url":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2023\/10\/Dr.-Miltie-Icon2-Original.jpg","contentUrl":"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2023\/10\/Dr.-Miltie-Icon2-Original.jpg","width":1075,"height":1075,"caption":"Dr. Miltie, LLC"},"image":{"@id":"https:\/\/drmiltie.com\/at-home-testing\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/DrMiltie","https:\/\/x.com\/DrMiltie","https:\/\/www.youtube.com\/channel\/UC0lrucdSUphl465VnBBCmIQ","https:\/\/www.linkedin.com\/company\/dr-miltie\/","https:\/\/g.page\/r\/Cay-6AjfEVO2EBM\/review"]},{"@type":"Person","@id":"https:\/\/drmiltie.com\/at-home-testing\/#\/schema\/person\/a9b2480e6f8fef0ba9016069088f496a","name":"Marc Poulshock","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/5cd217ade3f900dbd12cce5155f3011ff6da1e8de5f6fee155a9873a35fecc70?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/5cd217ade3f900dbd12cce5155f3011ff6da1e8de5f6fee155a9873a35fecc70?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/5cd217ade3f900dbd12cce5155f3011ff6da1e8de5f6fee155a9873a35fecc70?s=96&d=mm&r=g","caption":"Marc Poulshock"},"url":"https:\/\/drmiltie.com\/at-home-testing\/author\/thedishman\/"}]}},"spectra_custom_meta":{"_yoast_indexnow_last_ping":["1739640536"],"_edit_last":["3"],"make_faq_page":[""],"make_faq_shortcode":[""],"bgFAQfoldup":["default"],"bgFAQvisualCue":["default"],"_oh_add_script_header":["      "],"_oh_add_script_footer":[""],"_oh_add_script_header_hide":[""],"_oh_add_script_footer_hide":[""],"_su_rich_snippet_type":["none"],"_thumbnail_id":["4246"],"_vcv-sourceChecksum":["bb83b4eee21767291a7057f49d15483c"],"vcvSourceCssFileUrl":[""],"_vcv-globalCssMigrated":["1"],"_uag_css_file_name":["uag-css-5416.css"],"_uag_page_assets":["a:9:{s:3:\"css\";s:37171:\".uag-blocks-common-selector{z-index:var(--z-index-desktop) !important}@media (max-width: 976px){.uag-blocks-common-selector{z-index:var(--z-index-tablet) !important}}@media (max-width: 767px){.uag-blocks-common-selector{z-index:var(--z-index-mobile) !important}}\n.wp-block-uagb-container{display:flex;position:relative;box-sizing:border-box;transition-property:box-shadow;transition-duration:0.2s;transition-timing-function:ease}.wp-block-uagb-container .spectra-container-link-overlay{bottom:0;left:0;position:absolute;right:0;top:0;z-index:10}.wp-block-uagb-container.uagb-is-root-container{margin-left:auto;margin-right:auto}.wp-block-uagb-container.alignfull.uagb-is-root-container .uagb-container-inner-blocks-wrap{display:flex;position:relative;box-sizing:border-box;margin-left:auto !important;margin-right:auto !important}.wp-block-uagb-container .wp-block-uagb-blockquote,.wp-block-uagb-container .wp-block-spectra-pro-login,.wp-block-uagb-container .wp-block-spectra-pro-register{margin:unset}.wp-block-uagb-container .uagb-container__video-wrap{height:100%;width:100%;top:0;left:0;position:absolute;overflow:hidden;-webkit-transition:opacity 1s;-o-transition:opacity 1s;transition:opacity 1s}.wp-block-uagb-container .uagb-container__video-wrap video{max-width:100%;width:100%;height:100%;margin:0;line-height:1;border:none;display:inline-block;vertical-align:baseline;-o-object-fit:cover;object-fit:cover;background-size:cover}.wp-block-uagb-container.uagb-layout-grid{display:grid;width:100%}.wp-block-uagb-container.uagb-layout-grid>.uagb-container-inner-blocks-wrap{display:inherit;width:inherit}.wp-block-uagb-container.uagb-layout-grid>.uagb-container-inner-blocks-wrap>.wp-block-uagb-container{max-width:unset !important;width:unset !important}.wp-block-uagb-container.uagb-layout-grid>.wp-block-uagb-container{max-width:unset !important;width:unset !important}.wp-block-uagb-container.uagb-layout-grid.uagb-is-root-container{margin-left:auto;margin-right:auto}.wp-block-uagb-container.uagb-layout-grid.uagb-is-root-container>.wp-block-uagb-container{max-width:unset !important;width:unset !important}.wp-block-uagb-container.uagb-layout-grid.alignwide.uagb-is-root-container{margin-left:auto;margin-right:auto}.wp-block-uagb-container.uagb-layout-grid.alignfull.uagb-is-root-container .uagb-container-inner-blocks-wrap{display:inherit;position:relative;box-sizing:border-box;margin-left:auto !important;margin-right:auto !important}body .wp-block-uagb-container>.uagb-container-inner-blocks-wrap>*:not(.wp-block-uagb-container):not(.wp-block-uagb-column):not(.wp-block-uagb-container):not(.wp-block-uagb-section):not(.uagb-container__shape):not(.uagb-container__video-wrap):not(.wp-block-spectra-pro-register):not(.wp-block-spectra-pro-login):not(.uagb-slider-container):not(.spectra-image-gallery__control-lightbox):not(.wp-block-uagb-info-box),body .wp-block-uagb-container>.uagb-container-inner-blocks-wrap,body .wp-block-uagb-container>*:not(.wp-block-uagb-container):not(.wp-block-uagb-column):not(.wp-block-uagb-container):not(.wp-block-uagb-section):not(.uagb-container__shape):not(.uagb-container__video-wrap):not(.wp-block-spectra-pro-register):not(.wp-block-spectra-pro-login):not(.uagb-slider-container):not(.spectra-container-link-overlay):not(.spectra-image-gallery__control-lightbox):not(.wp-block-uagb-lottie):not(.uagb-faq__outer-wrap){min-width:unset !important;width:100%;position:relative}body .ast-container .wp-block-uagb-container>.uagb-container-inner-blocks-wrap>.wp-block-uagb-container>ul,body .ast-container .wp-block-uagb-container>.uagb-container-inner-blocks-wrap>.wp-block-uagb-container ol,body .ast-container .wp-block-uagb-container>.uagb-container-inner-blocks-wrap>ul,body .ast-container .wp-block-uagb-container>.uagb-container-inner-blocks-wrap ol{max-width:-webkit-fill-available;margin-block-start:0;margin-block-end:0;margin-left:20px}.ast-plain-container .editor-styles-wrapper .block-editor-block-list__layout.is-root-container .uagb-is-root-container.wp-block-uagb-container.alignwide{margin-left:auto;margin-right:auto}.uagb-container__shape{overflow:hidden;position:absolute;left:0;width:100%;line-height:0;direction:ltr}.uagb-container__shape-top{top:-3px}.uagb-container__shape-bottom{bottom:-3px}.uagb-container__shape.uagb-container__invert.uagb-container__shape-bottom,.uagb-container__shape.uagb-container__invert.uagb-container__shape-top{-webkit-transform:rotate(180deg);-ms-transform:rotate(180deg);transform:rotate(180deg)}.uagb-container__shape.uagb-container__shape-flip svg{transform:translateX(-50%) rotateY(180deg)}.uagb-container__shape svg{display:block;width:-webkit-calc(100% + 1.3px);width:calc(100% + 1.3px);position:relative;left:50%;-webkit-transform:translateX(-50%);-ms-transform:translateX(-50%);transform:translateX(-50%)}.uagb-container__shape .uagb-container__shape-fill{-webkit-transform-origin:center;-ms-transform-origin:center;transform-origin:center;-webkit-transform:rotateY(0deg);transform:rotateY(0deg)}.uagb-container__shape.uagb-container__shape-above-content{z-index:9;pointer-events:none}.nv-single-page-wrap .nv-content-wrap.entry-content .wp-block-uagb-container.alignfull{margin-left:calc(50% - 50vw);margin-right:calc(50% - 50vw)}@media only screen and (max-width: 767px){.wp-block-uagb-container .wp-block-uagb-advanced-heading{width:-webkit-fill-available}}.wp-block-uagb-image--align-none{justify-content:center}\n.wp-block-uagb-container.uagb-block-5f7c7726 .uagb-container__shape-top svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-5f7c7726 .uagb-container__shape.uagb-container__shape-top .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-5f7c7726 .uagb-container__shape-bottom svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-5f7c7726 .uagb-container__shape.uagb-container__shape-bottom .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-5f7c7726 .uagb-container__video-wrap video{opacity: 1;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-5f7c7726{max-width: 50%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-5f7c7726 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1200px);max-width: var(--inner-content-custom-width);width: 100%;flex-direction: column;align-items: center;justify-content: center;flex-wrap: wrap;row-gap: 30px;column-gap: 0px;}.wp-block-uagb-container.uagb-block-5f7c7726{box-shadow: 0px 0px   #00000070 ;padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top: 0px !important;margin-bottom: 0px !important;margin-left: 0px;margin-right: 0px;overflow: visible;order: initial;border-top-width: 0px;border-left-width: 0px;border-right-width: 0px;border-bottom-width: 0px;border-style: solid;border-color: inherit;background-color: ;;row-gap: 30px;column-gap: 0px;}@media only screen and (max-width: 976px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-5f7c7726{width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-5f7c7726 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1024px);max-width: var(--inner-content-custom-width);width: 100%;}.wp-block-uagb-container.uagb-block-5f7c7726{padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top: 0px !important;margin-bottom: 0px !important;margin-left: 0px;margin-right: 0px;order: initial;border-style: solid;background-color: ;;}}@media only screen and (max-width: 767px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-5f7c7726{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-5f7c7726 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 767px);max-width: var(--inner-content-custom-width);width: 100%;flex-wrap: wrap;}.wp-block-uagb-container.uagb-block-5f7c7726{padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top: 0px !important;margin-bottom: 0px !important;margin-left: 0px;margin-right: 0px;order: initial;border-style: solid;background-color: ;;}}.wp-block-uagb-advanced-heading h1,.wp-block-uagb-advanced-heading h2,.wp-block-uagb-advanced-heading h3,.wp-block-uagb-advanced-heading h4,.wp-block-uagb-advanced-heading h5,.wp-block-uagb-advanced-heading h6,.wp-block-uagb-advanced-heading p,.wp-block-uagb-advanced-heading div{word-break:break-word}.wp-block-uagb-advanced-heading .uagb-heading-text{margin:0}.wp-block-uagb-advanced-heading .uagb-desc-text{margin:0}.wp-block-uagb-advanced-heading .uagb-separator{font-size:0;border-top-style:solid;display:inline-block;margin:0 0 10px 0}.wp-block-uagb-advanced-heading .uagb-highlight{color:#f78a0c;border:0;transition:all 0.3s ease}.uag-highlight-toolbar{border-left:0;border-top:0;border-bottom:0;border-radius:0;border-right-color:#1e1e1e}.uag-highlight-toolbar .components-button{border-radius:0;outline:none}.uag-highlight-toolbar .components-button.is-primary{color:#fff}\n.wp-block-uagb-image{display:flex}.wp-block-uagb-image__figure{position:relative;display:flex;flex-direction:column;max-width:100%;height:auto;margin:0}.wp-block-uagb-image__figure img{height:auto;display:flex;max-width:100%;transition:box-shadow 0.2s ease}.wp-block-uagb-image__figure>a{display:inline-block}.wp-block-uagb-image__figure figcaption{text-align:center;margin-top:0.5em;margin-bottom:1em}.wp-block-uagb-image .components-placeholder.block-editor-media-placeholder .components-placeholder__instructions{align-self:center}.wp-block-uagb-image--align-left{text-align:left}.wp-block-uagb-image--align-right{text-align:right}.wp-block-uagb-image--align-center{text-align:center}.wp-block-uagb-image--align-full .wp-block-uagb-image__figure{margin-left:calc(50% - 50vw);margin-right:calc(50% - 50vw);max-width:100vw;width:100vw;height:auto}.wp-block-uagb-image--align-full .wp-block-uagb-image__figure img{height:auto;width:100% !important}.wp-block-uagb-image--align-wide .wp-block-uagb-image__figure img{height:auto;width:100%}.wp-block-uagb-image--layout-overlay__color-wrapper{position:absolute;left:0;top:0;right:0;bottom:0;opacity:0.2;background:rgba(0,0,0,0.5);transition:opacity 0.35s ease-in-out}.wp-block-uagb-image--layout-overlay-link{position:absolute;left:0;right:0;bottom:0;top:0}.wp-block-uagb-image--layout-overlay .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__color-wrapper{opacity:1}.wp-block-uagb-image--layout-overlay__inner{position:absolute;left:15px;right:15px;bottom:15px;top:15px;display:flex;align-items:center;justify-content:center;flex-direction:column;border-color:#fff;transition:0.35s ease-in-out}.wp-block-uagb-image--layout-overlay__inner.top-left,.wp-block-uagb-image--layout-overlay__inner.top-center,.wp-block-uagb-image--layout-overlay__inner.top-right{justify-content:flex-start}.wp-block-uagb-image--layout-overlay__inner.bottom-left,.wp-block-uagb-image--layout-overlay__inner.bottom-center,.wp-block-uagb-image--layout-overlay__inner.bottom-right{justify-content:flex-end}.wp-block-uagb-image--layout-overlay__inner.top-left,.wp-block-uagb-image--layout-overlay__inner.center-left,.wp-block-uagb-image--layout-overlay__inner.bottom-left{align-items:flex-start}.wp-block-uagb-image--layout-overlay__inner.top-right,.wp-block-uagb-image--layout-overlay__inner.center-right,.wp-block-uagb-image--layout-overlay__inner.bottom-right{align-items:flex-end}.wp-block-uagb-image--layout-overlay__inner .uagb-image-heading{color:#fff;transition:transform 0.35s, opacity 0.35s ease-in-out;transform:translate3d(0, 24px, 0);margin:0;line-height:1em}.wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{width:30%;border-top-width:2px;border-top-color:#fff;border-top-style:solid;margin-bottom:10px;opacity:0;transition:transform 0.4s, opacity 0.4s ease-in-out;transform:translate3d(0, 30px, 0)}.wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity:0;overflow:visible;color:#fff;transition:transform 0.45s, opacity 0.45s ease-in-out;transform:translate3d(0, 35px, 0)}.wp-block-uagb-image--layout-overlay__inner:hover .uagb-image-heading,.wp-block-uagb-image--layout-overlay__inner:hover .uagb-image-separator,.wp-block-uagb-image--layout-overlay__inner:hover .uagb-image-caption{opacity:1;transform:translate3d(0, 0, 0)}.wp-block-uagb-image--effect-zoomin .wp-block-uagb-image__figure img,.wp-block-uagb-image--effect-zoomin .wp-block-uagb-image__figure .wp-block-uagb-image--layout-overlay__color-wrapper{transform:scale(1);transition:transform 0.35s ease-in-out}.wp-block-uagb-image--effect-zoomin .wp-block-uagb-image__figure:hover img,.wp-block-uagb-image--effect-zoomin .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__color-wrapper{transform:scale(1.05)}.wp-block-uagb-image--effect-slide .wp-block-uagb-image__figure img,.wp-block-uagb-image--effect-slide .wp-block-uagb-image__figure .wp-block-uagb-image--layout-overlay__color-wrapper{width:calc(100% + 40px) !important;max-width:none !important;transform:translate3d(-40px, 0, 0);transition:transform 0.35s ease-in-out}.wp-block-uagb-image--effect-slide .wp-block-uagb-image__figure:hover img,.wp-block-uagb-image--effect-slide .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__color-wrapper{transform:translate3d(0, 0, 0)}.wp-block-uagb-image--effect-grayscale img{filter:grayscale(0%);transition:0.35s ease-in-out}.wp-block-uagb-image--effect-grayscale:hover img{filter:grayscale(100%)}.wp-block-uagb-image--effect-blur img{filter:blur(0);transition:0.35s ease-in-out}.wp-block-uagb-image--effect-blur:hover img{filter:blur(3px)}\n.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape-top svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape.uagb-container__shape-top .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape-bottom svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape.uagb-container__shape-bottom .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__video-wrap video{opacity: 1;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-d125a817{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-d125a817 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1200px);max-width: var(--inner-content-custom-width);width: 100%;flex-direction: row;align-items: flex-start;justify-content: center;flex-wrap: nowrap;row-gap: 20px;column-gap: 20px;}.wp-block-uagb-container.uagb-block-d125a817{box-shadow: 0px 0px   #00000070 ;padding-top: 25px;padding-bottom: 35px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;overflow: visible;order: initial;border-top-width: 1px;border-left-width: 0px;border-right-width: 0px;border-bottom-width: 1px;border-style: solid;border-color: var(--ast-global-color-5);background-color: var(--ast-global-color-3);;row-gap: 20px;column-gap: 20px;}.wp-block-uagb-container.uagb-block-a6085306 .uagb-container__shape-top svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-a6085306 .uagb-container__shape.uagb-container__shape-top .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-a6085306 .uagb-container__shape-bottom svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-a6085306 .uagb-container__shape.uagb-container__shape-bottom .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-a6085306 .uagb-container__video-wrap video{opacity: 1;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-a6085306{max-width: 50%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-a6085306 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1200px);max-width: var(--inner-content-custom-width);width: 100%;flex-direction: column;align-items: center;justify-content: center;flex-wrap: nowrap;row-gap: 20px;column-gap: 20px;}.wp-block-uagb-container.uagb-block-a6085306{box-shadow: 0px 0px   #00000070 ;padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;overflow: visible;order: initial;border-color: inherit;flex-direction: column;align-items: center;justify-content: center;flex-wrap: nowrap;row-gap: 20px;column-gap: 20px;}.wp-block-uagb-advanced-heading.uagb-block-eb04134b.wp-block-uagb-advanced-heading .uagb-heading-text{color: var(--ast-global-color-5);}.wp-block-uagb-advanced-heading.uagb-block-eb04134b.wp-block-uagb-advanced-heading .uagb-desc-text{margin-bottom: 15px;}.wp-block-uagb-advanced-heading.uagb-block-eb04134b.wp-block-uagb-advanced-heading .uagb-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-eb04134b.wp-block-uagb-advanced-heading .uagb-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-eb04134b.wp-block-uagb-advanced-heading .uagb-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-df3d7240.wp-block-uagb-advanced-heading .uagb-heading-text{color: var(--ast-global-color-5);}.wp-block-uagb-advanced-heading.uagb-block-df3d7240.wp-block-uagb-advanced-heading .uagb-desc-text{margin-bottom: 15px;}.wp-block-uagb-advanced-heading.uagb-block-df3d7240.wp-block-uagb-advanced-heading .uagb-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-df3d7240.wp-block-uagb-advanced-heading .uagb-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-df3d7240.wp-block-uagb-advanced-heading .uagb-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.uagb-block-3c13a6ff.wp-block-uagb-image{margin-top: 40px;margin-right: 0px;margin-bottom: 0px;margin-left: 0px;text-align: left;justify-content: flex-start;align-self: flex-start;}.uagb-block-3c13a6ff .wp-block-uagb-image__figure{align-items: flex-start;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-default figure img{box-shadow: 0px 0px 0 #00000070;border-top-left-radius: 0px;border-top-right-radius: 0px;border-bottom-left-radius: 0px;border-bottom-right-radius: 0px;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image__figure figcaption{font-style: normal;align-self: center;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay figure img{box-shadow: 0px 0px 0 #00000070;border-top-left-radius: 0px;border-top-right-radius: 0px;border-bottom-left-radius: 0px;border-bottom-right-radius: 0px;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__color-wrapper{opacity: 0.2;border-top-left-radius: 0px;border-top-right-radius: 0px;border-bottom-left-radius: 0px;border-bottom-right-radius: 0px;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner{left: 15px;right: 15px;top: 15px;bottom: 15px;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-heading{font-style: normal;color: #fff;opacity: 1;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-heading a{color: #fff;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity: 0;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__color-wrapper{opacity: 1;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{width: 30%;border-top-width: 2px;border-top-color: #fff;opacity: 0;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image__figure img{width: px;height: auto;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity: 1;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{opacity: 1;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-default figure:hover img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-3c13a6ff.wp-block-uagb-image--layout-overlay figure:hover img{box-shadow: 0px 0px 0 #00000070;}.wp-block-uagb-container.uagb-block-1fdd0225 .uagb-container__shape-top svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-1fdd0225 .uagb-container__shape.uagb-container__shape-top .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-1fdd0225 .uagb-container__shape-bottom svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-1fdd0225 .uagb-container__shape.uagb-container__shape-bottom .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-1fdd0225 .uagb-container__video-wrap video{opacity: 1;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-1fdd0225{max-width: 50%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-1fdd0225 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1200px);max-width: var(--inner-content-custom-width);width: 100%;flex-direction: column;align-items: center;justify-content: center;flex-wrap: nowrap;row-gap: 20px;column-gap: 20px;}.wp-block-uagb-container.uagb-block-1fdd0225{box-shadow: 0px 0px   #00000070 ;padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;overflow: visible;order: initial;border-color: inherit;flex-direction: column;align-items: center;justify-content: center;flex-wrap: nowrap;row-gap: 20px;column-gap: 20px;}.wp-block-uagb-advanced-heading.uagb-block-ca8ae286.wp-block-uagb-advanced-heading .uagb-heading-text{color: var(--ast-global-color-5);}.wp-block-uagb-advanced-heading.uagb-block-ca8ae286.wp-block-uagb-advanced-heading .uagb-desc-text{margin-bottom: 15px;}.wp-block-uagb-advanced-heading.uagb-block-ca8ae286.wp-block-uagb-advanced-heading .uagb-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-ca8ae286.wp-block-uagb-advanced-heading .uagb-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-ca8ae286.wp-block-uagb-advanced-heading .uagb-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-c248310d.wp-block-uagb-advanced-heading .uagb-heading-text{color: var(--ast-global-color-5);}.wp-block-uagb-advanced-heading.uagb-block-c248310d.wp-block-uagb-advanced-heading .uagb-desc-text{margin-bottom: 15px;}.wp-block-uagb-advanced-heading.uagb-block-c248310d.wp-block-uagb-advanced-heading .uagb-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-c248310d.wp-block-uagb-advanced-heading .uagb-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-c248310d.wp-block-uagb-advanced-heading .uagb-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-c248310d .uagb-heading-text{font-size: 14px;}@media only screen and (max-width: 976px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-d125a817{width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-d125a817 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1024px);max-width: var(--inner-content-custom-width);width: 100%;}.wp-block-uagb-container.uagb-block-d125a817{padding-top: 50px;padding-bottom: 50px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;border-style: solid;border-color: var(--ast-global-color-5);background-color: var(--ast-global-color-3);;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-a6085306{width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-a6085306 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1024px);max-width: var(--inner-content-custom-width);width: 100%;}.wp-block-uagb-container.uagb-block-a6085306{padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image__figure img{width: px;height: auto;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-1fdd0225{width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-1fdd0225 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 1024px);max-width: var(--inner-content-custom-width);width: 100%;}.wp-block-uagb-container.uagb-block-1fdd0225{padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;}}@media only screen and (max-width: 767px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-d125a817{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-d125a817 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 767px);max-width: var(--inner-content-custom-width);width: 100%;flex-wrap: wrap;}.wp-block-uagb-container.uagb-block-d125a817{padding-top: 30px;padding-bottom: 30px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;border-style: solid;border-color: var(--ast-global-color-5);background-color: var(--ast-global-color-3);;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-a6085306{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-a6085306 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 767px);max-width: var(--inner-content-custom-width);width: 100%;flex-wrap: wrap;}.wp-block-uagb-container.uagb-block-a6085306{padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;flex-wrap: wrap;}.uagb-block-3c13a6ff.wp-block-uagb-image .wp-block-uagb-image__figure img{width: px;height: auto;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-1fdd0225{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-is-root-container.alignfull.uagb-block-1fdd0225 > .uagb-container-inner-blocks-wrap{--inner-content-custom-width: min( 100%, 767px);max-width: var(--inner-content-custom-width);width: 100%;flex-wrap: wrap;}.wp-block-uagb-container.uagb-block-1fdd0225{padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;flex-wrap: wrap;}}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape-top svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape.uagb-container__shape-top .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape-bottom svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__shape.uagb-container__shape-bottom .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-d125a817 .uagb-container__video-wrap video{opacity: 1;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-d125a817{max-width: 600px;width: 100%;}.wp-block-uagb-container.uagb-block-d125a817{box-shadow: 0px 0px   #00000070 ;padding-top: 0px;padding-bottom: 0px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;overflow: visible;order: initial;border-top-width: 0px;border-left-width: 0px;border-right-width: 0px;border-bottom-width: 0px;border-style: solid;border-color: var(--ast-global-color-5);background-color: var(--ast-global-color-5);;flex-direction: row;align-items: flex-start;justify-content: center;flex-wrap: wrap;row-gap: 30px;column-gap: 0px;max-width: 600px !important;}.uagb-block-e7884626.wp-block-uagb-image{text-align: center;justify-content: center;align-self: center;}.uagb-block-e7884626 .wp-block-uagb-image__figure{align-items: center;}.uagb-block-e7884626.wp-block-uagb-image--layout-default figure img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image__figure figcaption{font-style: normal;align-self: center;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay figure img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__color-wrapper{opacity: 0.2;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner{left: 15px;right: 15px;top: 15px;bottom: 15px;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-heading{font-style: normal;color: #fff;opacity: 1;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-heading a{color: #fff;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity: 0;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__color-wrapper{opacity: 1;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{width: 30%;border-top-width: 2px;border-top-color: #fff;opacity: 0;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image__figure img{width: px;height: auto;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity: 1;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{opacity: 1;}.uagb-block-e7884626.wp-block-uagb-image--layout-default figure:hover img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-e7884626.wp-block-uagb-image--layout-overlay figure:hover img{box-shadow: 0px 0px 0 #00000070;}.wp-block-uagb-advanced-heading.uagb-block-146e545a.wp-block-uagb-advanced-heading {text-align: center;}.wp-block-uagb-advanced-heading.uagb-block-146e545a.wp-block-uagb-advanced-heading .uagb-desc-text{margin-bottom: 0px;}.wp-block-uagb-advanced-heading.uagb-block-146e545a.wp-block-uagb-advanced-heading .uagb-highlight{font-style: normal;font-weight: Default;background: #007cba;color: #fff;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-146e545a.wp-block-uagb-advanced-heading .uagb-highlight::-moz-selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-146e545a.wp-block-uagb-advanced-heading .uagb-highlight::selection{color: #fff;background: #007cba;-webkit-text-fill-color: #fff;}.wp-block-uagb-advanced-heading.uagb-block-146e545a .uagb-heading-text{font-size: 20px;margin-bottom: 0px;}.wp-block-uagb-advanced-heading.uagb-block-146e545a .uagb-desc-text{font-size: 16px;}@media only screen and (max-width: 976px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-d125a817{width: 100%;}.wp-block-uagb-container.uagb-block-d125a817{padding-top: 50px;padding-bottom: 50px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;border-style: solid;border-color: var(--ast-global-color-5);background-color: var(--ast-global-color-5);;max-width:  !important;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image__figure img{width: px;height: auto;}}@media only screen and (max-width: 767px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-d125a817{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-block-d125a817{padding-top: 30px;padding-bottom: 30px;padding-left: 0px;padding-right: 0px;margin-top:  !important;margin-bottom:  !important;order: initial;border-style: solid;border-color: var(--ast-global-color-5);background-color: var(--ast-global-color-5);;flex-wrap: wrap;max-width: 100% !important;}.uagb-block-e7884626.wp-block-uagb-image .wp-block-uagb-image__figure img{width: px;height: auto;}}.wp-block-uagb-container.uagb-block-df957dd6 .uagb-container__shape-top svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-df957dd6 .uagb-container__shape.uagb-container__shape-top .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-df957dd6 .uagb-container__shape-bottom svg{width: calc( 100% + 1.3px );}.wp-block-uagb-container.uagb-block-df957dd6 .uagb-container__shape.uagb-container__shape-bottom .uagb-container__shape-fill{fill: rgba(51,51,51,1);}.wp-block-uagb-container.uagb-block-df957dd6 .uagb-container__video-wrap video{opacity: 1;}.wp-block-uagb-container.uagb-is-root-container .uagb-block-df957dd6{max-width: 500px;width: 100%;}.wp-block-uagb-container.uagb-block-df957dd6{box-shadow: 0px 0px   #00000070 ;padding-top: 10px;padding-bottom: 10px;padding-left: 10px;padding-right: 10px;margin-top:  !important;margin-bottom:  !important;overflow: visible;order: initial;border-color: inherit;flex-direction: column;align-items: center;justify-content: center;flex-wrap: nowrap;row-gap: 20px;column-gap: 20px;max-width: 500px !important;}.uagb-block-976679cd.wp-block-uagb-image{text-align: center;justify-content: center;align-self: center;}.uagb-block-976679cd .wp-block-uagb-image__figure{align-items: center;}.uagb-block-976679cd.wp-block-uagb-image--layout-default figure img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image__figure figcaption{font-style: normal;align-self: center;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay figure img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__color-wrapper{opacity: 0.2;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner{left: 15px;right: 15px;top: 15px;bottom: 15px;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-heading{font-style: normal;color: #fff;opacity: 1;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-heading a{color: #fff;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay .wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity: 0;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__color-wrapper{opacity: 1;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{width: 30%;border-top-width: 2px;border-top-color: #fff;opacity: 0;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image__figure img{width: 280px;height: auto;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__inner .uagb-image-caption{opacity: 1;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image__figure:hover .wp-block-uagb-image--layout-overlay__inner .uagb-image-separator{opacity: 1;}.uagb-block-976679cd.wp-block-uagb-image--layout-default figure:hover img{box-shadow: 0px 0px 0 #00000070;}.uagb-block-976679cd.wp-block-uagb-image--layout-overlay figure:hover img{box-shadow: 0px 0px 0 #00000070;}@media only screen and (max-width: 976px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-df957dd6{width: 100%;}.wp-block-uagb-container.uagb-block-df957dd6{padding-top: 10px;padding-bottom: 10px;padding-left: 10px;padding-right: 10px;margin-top:  !important;margin-bottom:  !important;order: initial;max-width:  !important;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image__figure img{width: 280px;height: auto;}}@media only screen and (max-width: 767px) {.wp-block-uagb-container.uagb-is-root-container .uagb-block-df957dd6{max-width: 100%;width: 100%;}.wp-block-uagb-container.uagb-block-df957dd6{padding-top: 10px;padding-bottom: 10px;padding-left: 10px;padding-right: 10px;margin-top:  !important;margin-bottom:  !important;order: initial;flex-wrap: wrap;max-width: 100% !important;}.uagb-block-976679cd.wp-block-uagb-image .wp-block-uagb-image__figure img{width: 280px;height: auto;}}\";s:2:\"js\";s:0:\"\";s:18:\"current_block_list\";a:17:{i:0;s:11:\"core\/search\";i:1;s:10:\"core\/group\";i:2;s:12:\"core\/heading\";i:3;s:17:\"core\/latest-posts\";i:4;s:20:\"core\/latest-comments\";i:5;s:13:\"core\/archives\";i:6;s:15:\"core\/categories\";i:7;s:23:\"kadence\/advancedheading\";i:8;s:17:\"kadence\/rowlayout\";i:9;s:14:\"kadence\/column\";i:10;s:14:\"uagb\/container\";i:11;s:18:\"core\/legacy-widget\";i:12;s:17:\"core\/social-links\";i:13;s:16:\"core\/social-link\";i:16;s:21:\"uagb\/advanced-heading\";i:17;s:10:\"uagb\/image\";i:18;s:14:\"core\/paragraph\";}s:8:\"uag_flag\";b:1;s:11:\"uag_version\";s:10:\"1775021253\";s:6:\"gfonts\";a:0:{}s:10:\"gfonts_url\";s:0:\"\";s:12:\"gfonts_files\";a:0:{}s:14:\"uag_faq_layout\";b:0;}"]},"uagb_featured_image_src":{"full":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg",769,495,false],"thumbnail":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill-150x150.jpg",150,150,true],"medium":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill-300x193.jpg",300,193,true],"medium_large":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg",768,494,false],"large":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg",769,495,false],"1536x1536":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg",769,495,false],"2048x2048":["https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2017\/05\/Favorable-CBO-score-gives-boost-to-Medicare-telehealth-bill.jpg",769,495,false]},"uagb_author_info":{"display_name":"Marc Poulshock","author_link":"https:\/\/drmiltie.com\/at-home-testing\/author\/thedishman\/"},"uagb_comment_info":0,"uagb_excerpt":"[Billing Code: \u00a04120-01-P] DEPARTMENT OF HEALTH AND HUMAN SERVICES \u00a0Centers for Medicare &amp; Medicaid Services [&hellip;]","_links":{"self":[{"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/posts\/5416","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/comments?post=5416"}],"version-history":[{"count":0,"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/posts\/5416\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/media\/4246"}],"wp:attachment":[{"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/media?parent=5416"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/categories?post=5416"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drmiltie.com\/at-home-testing\/wp-json\/wp\/v2\/tags?post=5416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}