Does the beneficiary need to exceed the TRICARE Home Health Agency-Prospective Payment System (HHA-PPS) benefit before receiving the EHHC benefit?
The HHA-PPS benefit and the EHHC benefit are statutorily separate and distinct so the HHA-PPS benefit would not apply to EHHC-eligible beneficiaries. EHHC-eligible beneficiaries are those Active Duty Family Members who meet the ECHO eligibility requirements and whose need for in-home skilled care exceeds the part-time or intermittent limitations of HHA-PPS.
