Home Health Prospective Payment System Regulations and Notices

CMS-1828-F

Mon, 24 Nov 2025 12:40:55 -0500

description: CMS issued a final rule [CMS-1828-F] that finalizes routine updates to the Medicare home health payment rates; finalizes permanent and temporary behavior adjustments and recalibrates the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. This final rule also finalizes changes to the face-to-face encounter policy. It also finalizes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it finalizes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.

display_date: Fri, 28 Nov 2025 21:15:00 -0500

publication_date: Tue, 02 Dec 2025 13:15:00 -0500

qualified_year_ref: Calendar Year (CY) 2026

regulation_number: CMS-1828-F

title: CY 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; and Other Medicare and Medicaid Policies

CMS-1828-P

Wed, 25 Jun 2025 10:05:41 -0400

description: CMS issued a proposed rule [CMS-1828-P] that proposes routine updates to the Medicare home health payment rates; proposes permanent and temporary behavior adjustments and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. Lastly, this proposed rule proposes policy changes to the face-to-face encounter policy. It also proposes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it would update the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it proposes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements. The CY 2026 HH PPS proposed rule with comment went on display at the Office of the Federal Register’s Public Inspection Desk on June 30, 2025 and will be available until the regulation is published on July 2, 2025. The comment due date is August 29, 2025. See CMS-1828-P in the “Related Links” section below.

display_date: Mon, 30 Jun 2025 20:15:00 -0400

publication_date: Wed, 02 Jul 2025 16:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2026

regulation_number: CMS-1828-P

CMS-1803-F and CMS-1803-CN

Thu, 31 Oct 2024 08:25:16 -0400

description: CMS issued a final rule [CMS-1803-F] that finalizes routine updates to the Medicare home health payment rates; the payment rate for the disposable negative pressure wound therapy (dNPWT) devices; and the Intravenous Immune Globulin (IVIG) items and services payment rate for CY 2025 in accordance with existing statutory and regulatory requirements. In addition, it finalizes changes to the HH QRP requirements and provides an update on potential approaches for integrating health equity in the Expanded HHVBP Model. It also proposes a new standard for acceptance to service policy in the HH conditions of participation (CoPs) and includes requests for information (RFIs) soliciting input on permitting rehabilitative therapists to conduct the initial and comprehensive assessment and the factors that may influence the patient referral and intake processes. Lastly, it finalizes updates to provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses.

display_date: Fri, 01 Nov 2024 20:15:00 -0400

publication_date: Thu, 07 Nov 2024 13:15:00 -0500

qualified_year_ref: Calendar Year (CY) 2025

regulation_number: CMS-1803-F and CMS-1803-CN

title: CY 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies Requirements

CMS-1803-P

Fri, 21 Jun 2024 10:34:20 -0400

description: CMS issued a proposed rule [CMS-1803-P] that proposes routine updates to the Medicare home health payment rates; the payment rate for the disposable negative pressure wound therapy (dNPWT) devices; and the Intravenous Immune Globulin (IVIG) items and services payment rate for CY 2025 in accordance with existing statutory and regulatory requirements. In addition, it proposes changes to the HH QRP requirements and provides an update on potential approaches for integrating health equity in the Expanded HHVBP Model. It also proposes a new standard for acceptance to service policy in the HH conditions of participation (CoPs) and includes requests for information (RFIs) soliciting input on permitting rehabilitative therapists to conduct the initial and comprehensive assessment and the factors that may influence the patient referral and intake processes. Lastly, it proposes updates to provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses. The CY 2025 HH PPS proposed rule with comment went on display at the Office of the Federal Register’s Public Inspection Desk on June 26, 2024 and will be available until the regulation is published on July 3, 2024. The comment due date is August 26, 2024. See CMS-1803-P in the “Related Links” section below.

display_date: Wed, 26 Jun 2024 16:00:00 -0400

publication_date: Wed, 03 Jul 2024 16:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2025

regulation_number: CMS-1803-P

CMS-1780-F

Fri, 27 Oct 2023 16:26:31 -0400

description: CMS issued a final rule [CMS-1780-F] that finalizes routine updates to the home health payment rates for calendar year (CY) 2024, in accordance with existing statutory and regulatory requirements. This rule discusses comments received regarding access to home health aide services; implements home health payment-related changes; rebases and revises the home health market basket and revises the labor-related share; codifies statutory requirements for disposable negative pressure wound therapy (dNPWT); and implements the new items and services payment for the home intravenous immune globulin (IVIG) benefit.

display_date: Wed, 01 Nov 2023 20:15:00 -0400

publication_date: Mon, 13 Nov 2023 13:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2024

regulation_number: CMS-1780-F

title: CY 2024 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; and Home Intravenous Immune Globulin (IVIG) Items and Services

CMS-1780-P

Fri, 30 Jun 2023 11:42:08 -0400

description: CMS issued a proposed rule [CMS-1780-P] that proposes routine updates to the home health payment rates for calendar year (CY) 2024, in accordance with existing statutory and regulatory requirements. This rule includes information on home health utilization trends and solicits comments regarding access to home health aide services. This rule also includes proposals to recalibrate the Patient Driven Groupings Model (PDGM) case-mix weights and updates the Low Utilization Payment Adjustment (LUPA) thresholds, functional impairment levels, and comorbidity adjustment subgroups for CY 2024, a proposal to revise and rebase the home health market basket and a proposal to revise the labor-related share. This rule also provides analysis determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the PDGM case-mix adjustment methodology; and proposes a permanent prospective adjustment to the CY 2024 home health payment rate. Additionally, this rule includes a proposal to codify statutory requirements for negative pressure wound therapy using a disposable device (dNPWT) and proposes regulations to implement the new items and services payment for the home intravenous immune globulin (IVIG) benefit.

display_date: Fri, 30 Jun 2023 20:15:00 -0400

publication_date: Mon, 10 Jul 2023 12:15:00 -0400

qualified_year_ref: Calendar Year (CY) 2024

regulation_number: CMS-1780-P

title: CY 2024 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; and Home Intravenous Immune Globulin (IVIG) Items and Services

CMS-1766-F

Mon, 31 Oct 2022 12:21:16 -0400

description: CMS issued a final rule [CMS-1766-F] that finalizes routine updates to the home health payment rates for calendar year (CY) 2023, in accordance with existing statutory and regulatory requirements. This rule finalizes a methodology for determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the Patient Driven Groupings Model (PDGM) case-mix adjustment methodology. Additionally, this rule finalizes a permanent prospective adjustment to the CY 2023 home health payment rates and also finalizes the reassignment of certain diagnosis codes under the PDGM. This final rule establishes a permanent mitigation policy to smooth the impact of year-to-year changes in home health payments related to changes in the home health wage index. Finally, this rule finalizes recalibration of the PDGM case-mix weights and updates the low utilization payment adjustment (LUPA) thresholds, functional impairment levels, comorbidity adjustment subgroups for CY 2023 and the fixed-dollar loss ratio used for outlier payments for CY 2023.

display_date: Mon, 31 Oct 2022 20:15:00 -0400

publication_date: Fri, 04 Nov 2022 16:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2023

regulation_number: CMS-1766-F

title: CY 2023 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1766-P

Wed, 15 Jun 2022 08:58:13 -0400

description: CMS issued a proposed rule [CMS-1766-P] that proposes routine updates to the home health payment rates for calendar year (CY) 2023, in accordance with existing statutory and regulatory requirements. This proposed rule discusses home health utilization; proposes a methodology for determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the Patient Driven Groupings Model (PDGM) case-mix adjustment methodology; proposes a permanent prospective adjustment to the CY 2023 home health payment rates and solicits comments on the best approach to implement the temporary retrospective adjustment. This rule also proposes the reassignment of certain diagnosis codes under the PDGM; and proposes to establish a permanent mitigation policy to smooth the impact of year-to-year changes in home health payments related to changes in the home health wage index. This rule also proposes recalibration of the PDGM case-mix weights and updates the low utilization payment adjustment (LUPA) thresholds, functional impairment levels, comorbidity adjustment subgroups for CY 2023 and the fixed-dollar loss ratio used for outlier payments. Additionally, this rule discusses the future collection of data regarding the use of telecommunications technology during a 30-day home health period of care on home health claims.

display_date: Fri, 17 Jun 2022 20:15:00 -0400

publication_date: Thu, 23 Jun 2022 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2023

regulation_number: CMS-1766-P

title: CY 2023 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1747-F

Wed, 27 Oct 2021 13:51:54 -0400

display_date: Tue, 02 Nov 2021 16:00:00 -0400

publication_date: Tue, 09 Nov 2021 17:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2022

regulation_number: CMS-1747-F and CMS-1747-CN

title: CY 2022 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1747-P

Tue, 15 Jun 2021 11:07:49 -0400

description: CMS issued a proposed rule [CMS-1747-P] that proposes routine updates to the home health payment rates for calendar year (CY) 2022, in accordance with existing statutory and regulatory requirements. This rule also provides monitoring and analysis of the Patient-Driven Groupings Model (PDGM); solicits comments on a methodology for determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the PDGM case-mix adjustment methodology; proposes to maintain the CY 2021 low utilization payment adjustment (LUPA) thresholds; and proposes to recalibrate the PDGM case-mix weights, functional levels, and comorbidity adjustment subgroups for CY 2022. Additionally, this rule proposes to utilize the physical therapy LUPA add-on factor to establish the occupational therapy add-on factor for the LUPA add-on payment amounts; and make conforming regulations text changes to reflect that allowed practitioners are able to establish and review the plan of care.

display_date: Mon, 28 Jun 2021 20:15:00 -0400

publication_date: Wed, 07 Jul 2021 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2022

regulation_number: CMS-1747-P

title: CY 2022 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1730-F

Tue, 27 Oct 2020 11:40:57 -0400

description: CMS issued a final rule [CMS-1730-F] that finalizes routine updates to the home health payment rates for calendar year (CY) 2021, in accordance with existing statutory and regulatory requirements. This rule also finalizes regulatory changes related to telecommunications technologies in providing care under the Medicare home health benefit beyond the expiration of the Coronavirus Disease 2019 (COVID-19) public health emergency (PHE). This rule finalizes the adoption of the revised Office of Management and Budget statistical area delineations as described in OMB Bulletin 18-04 and finalizes a 5 percent cap on wage index decreases in CY 2021. Finally, this rule updates the home infusion therapy services payment rates for CY 2021.

display_date: Thu, 29 Oct 2020 20:15:00 -0400

publication_date: Wed, 04 Nov 2020 13:15:00 -0500

qualified_year_ref: Calendar Year (CY) 2021

regulation_number: CMS-1730-F

title: CY 2021 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1730-P

Tue, 09 Jun 2020 13:31:08 -0400

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1730-P) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2021. The proposed HH PPS policies included in the rule would result in a 2.6 percent increase ($540 million) in payments to HHAs in CY 2021 and also sets forth routine updates to the home infusion therapy payment rates for CY 2021 and proposes payment provisions for home infusion therapy services for CY 2021 and subsequent years.

display_date: Thu, 25 Jun 2020 20:15:00 -0400

publication_date: Tue, 30 Jun 2020 20:15:00 -0400

qualified_year_ref: Calendar Year (CY) 2021

regulation_number: CMS-1730-P

title: CY 2021 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

HCFA-1059-F

Wed, 06 Nov 2019 21:48:31 -0500

publication_date: Mon, 03 Jul 2000 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2000

regulation_number: HCFA-1059-F

title: Medicare Program; Prospective Payment System for Home Health Agencies

CMS-1711-FC

Tue, 05 Nov 2019 02:49:03 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule with comment period (CMS-1711-FC) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2020. The final HH PPS policies included in the rule would result in a 1.3 percent increase ($250 million) in payments to HHAs in CY 2020 and also sets forth routine updates to the home infusion therapy payment rates for CY 2020 and finalizes payment provisions for home infusion therapy services for CY 2021 and subsequent years.

display_date: Thu, 31 Oct 2019 12:00:00 -0400

publication_date: Fri, 08 Nov 2019 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2020

regulation_number: CMS-1711-FC

title: CY 2020 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1711-P

Mon, 04 Nov 2019 02:47:54 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1711-P) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2020. The proposed HH PPS policies included in the rule would result in a 1.3 percent increase ($250 million) in payments to HHAs in CY 2020 and also sets forth routine updates to the home infusion therapy payment rates for CY 2020 and proposes payment provisions for home infusion therapy services for CY 2021 and subsequent years.

display_date: Thu, 11 Jul 2019 12:00:00 -0400

publication_date: Thu, 18 Jul 2019 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2020

regulation_number: CMS-1711-P

title: CY 2020 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements

CMS-1689-FC

Mon, 04 Nov 2019 02:46:32 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1689-FC) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019. The final rule results in a 2.2 percent increase ($420 million) in payments to HHAs in CY 2019 and finalizes the methodology used to determine the rural add-on payment for CYs 2019 through 2022 as well as regulations text changes regarding certifying and recertifying patient eligibility for Medicare home health services and remote patient monitoring. This rule also finalizes the removal of seven measures from the Home Health Quality Reporting Program, a regulatory text change regarding OASIS data, and refinements the Home Health Value-Based Purchasing model. For CY 2020, this rule finalizes the implementation of an alternative case-mix adjustment methodology, the Patient Driven Groupings Model (PDGM). The PDGM will be implemented in a budget neutral manner on January 1, 2020.

display_date: Fri, 26 Oct 2018 12:00:00 -0400

publication_date: Tue, 13 Nov 2018 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2019

regulation_number: CMS-1689-FC

title: CY 2019 Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019

CMS-1689-P

Mon, 04 Nov 2019 02:45:51 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1689-P) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019. The proposed HH PPS policies included in the rule would result in a 2.1 percent increase ($400 million) in payments to HHAs in CY 2019 and extends the rural add-on payment for CYs 2019 through 2022.

display_date: Fri, 29 Jun 2018 12:00:00 -0400

publication_date: Thu, 12 Jul 2018 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2019

regulation_number: CMS-1689-P

title: CY 2019 Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019.

CMS-1672-F

Mon, 04 Nov 2019 02:44:06 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1672-F) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2018. CMS projects that Medicare payments to HHAs in CY 2018 will be reduced by 0.4 percent, or $80 million, based on the finalized policies. This decrease reflects the effects of a 1 percent home health payment update percentage ($190 million increase); a -0.97 percent adjustment to the national, standardized 60-day episode payment rate to account for nominal case-mix growth for an impact of -0.9 percent ($170 million decrease); and the sunset of the rural add-on provision for an impact of -0.5 percent ($100 million decrease). The rule also finalizes proposals for the Home Health Value-Based Purchasing (HHVBP) Model and the Home Health Quality Reporting Program (HH QRP). CMS is not finalizing the implementation of the Home Health Groupings Model (HHGM) in this final rule. The agency received many comments from the public that it would like to take into further consideration.

display_date: Wed, 01 Nov 2017 12:00:00 -0400

publication_date: Tue, 07 Nov 2017 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2018

regulation_number: CMS-1672-F

title: CY 2018 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements

CMS-1672-P

Mon, 04 Nov 2019 02:43:26 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1672-P) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2018. The proposed policies included in the rule would result in a 0.4 percent decrease (-$80 million) in payments to HHAs in CY 2018. For CY 2019 payments, CMS proposes to implement an alternative case-mix adjustment methodology, the Home Health Groupings Model (HHGM). The HHGM would use 30-day periods, rather than 60-day episodes, and rely more heavily on clinical characteristics and other patient information (e.g., principal diagnosis, functional level, comorbid conditions, referral source, and timing) to place patients into more meaningful payment categories. For the HH Quality Reporting Program (QRP), CMS is proposing to adopt for the CY 2020 payment determination three measures to meet the requirements of the IMPACT Act and new standardized data elements. To reduce provider burden, CMS is proposing to remove or modify current OASIS items. CMS is also proposing processes for requesting reconsideration of determinations regarding compliance with pay-for-reporting requirements, as well as a process for providing exceptions to these policies and extensions to reporting timeframes. Lastly, CMS is also proposing changes to the Home Health Value-Based Purchasing (HHVBP) Model.

display_date: Tue, 25 Jul 2017 12:00:00 -0400

publication_date: Fri, 28 Jul 2017 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2018

regulation_number: CMS-1672-P

title: CY 2018 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements

CMS-1648-F

Mon, 04 Nov 2019 02:42:06 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1648-F) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2017. In the CY 2017 final rule, CMS implements the fourth and final year of the four year phase-in of the rebasing adjustments to the HH PPS payment rates as required by the Affordable Care Act. In addition, CMS will decrease the national, standardized 60-day episode payment amount by 0.97 percent in CY 2017 to account for nominal case-mix growth between CY 2012 and CY 2014, which was not accounted for in the rebasing adjustments finalized in the CY 2014 HH PPS final rule. CMS is also changing the methodology used to calculate outlier payments to a per-unit approach. The CY 2017 final rule will result in a 0.7 percent decrease (-$130 million) in payments to HHAs. As required by the Consolidated Appropriations Act, 2016, CMS is implementing a separate payment for furnishing Negative Pressure Wound Therapy (NPWT) using a disposable device for patients under a home health plan of care. CMS also provides an update to the Home Health Quality Reporting Program and an update regarding public reporting of performance under the HH VBP Model.

display_date: Mon, 31 Oct 2016 12:00:00 -0400

publication_date: Thu, 03 Nov 2016 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2017

regulation_number: CMS-1648-F

title: CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements

CMS-1648-P

Mon, 04 Nov 2019 02:41:23 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1648-P) that would update the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2017. The proposed updates to the HH PPS rates include implementing the final year of the four year phase-in of the rebasing adjustments to the national, standardized 60 day episode payment rates, the national per-visit rates, and the non-routine medical supplies (NRS) conversion factor as required by law. In addition, this proposed rule would reduce the national, standardized 60-day episode payment rates by 0.97 percent in CY 2017 to account for nominal case-mix growth between CY 2012 and CY 2014 (i.e., case-mix growth that does not reflect changes in patient acuity), which was not accounted for in the rebasing adjustments finalized in the CY 2014 HH PPS final rule. The CY 2017 proposed rule would result in a 1.0 percent decrease (-$180 million) in payments to HHAs. CMS is also proposing changes to the methodology used to calculate outlier payments. As required by the Consolidated Appropriations Act of 2016, CMS proposes changes in payment for Negative Pressure Wound Therapy (NPWT) performed using a disposable device for patient’s under a home health plan of care. CMS also proposes an update to the Home Health Quality Reporting Program. Lastly, in addition to providing an update on the progress towards developing public reporting of performance under the HH VBP Model, CMS proposes several changes and improvements related to the model.

display_date: Mon, 27 Jun 2016 12:00:00 -0400

publication_date: Tue, 05 Jul 2016 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2017

regulation_number: CMS-1648-P

title: CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements

CMS-1625-F

Mon, 04 Nov 2019 02:40:11 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1625-F) that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2016. In the CY 2016 final rule, CMS implements the third year of the four year phase-in of the rebasing adjustments to the HH PPS payment rates as required by the Affordable Care Act. In addition, CMS will decrease the national, standardized 60-day episode payment amount by 0.97 percent in each year for CY 2016, CY 2017, and CY 2018 to account for nominal case-mix growth between CY 2012 and CY 2014. CMS also provides an update to the Home Health Quality Reporting Program. Lastly, CMS is implementing a Home Health Value-Based Purchasing (HHVBP) model effective for CY 2016. CMS estimates that the net impact of the payment provisions of the final rule will result in a decrease of 1.4 percent ($260 million) in Medicare payments to HHAs for CY 2016. Along with the payment update, CMS is revising the ICD-10-CM translation list and adding certain initial encounter codes to the HH PPS Grouper based upon revised ICD-10-CM coding guidance.

display_date: Thu, 29 Oct 2015 12:00:00 -0400

publication_date: Thu, 05 Nov 2015 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2016

regulation_number: CMS-1625-F

title: CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements

CMS-1625-P

Mon, 04 Nov 2019 02:39:35 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2016. In the CY 2016 proposed rule, CMS is implementing the third year of the four year phase-in of the rebasing adjustments to the HH PPS payment rates required by the Affordable Care Act. In addition, CMS is proposing to decrease the national, standardized 60-day episode payment amount by 1.72 percent in each year for CY 2016 and CY 2017 to account for nominal case-mix growth between CY 2012 and CY 2014 and proposing updates to the Home Health Quality Reporting Program. Finally, CMS is proposing to implement a Home Health Value-Based Purchasing (HHVBP) model effective for CY 2016. CMS estimates that the net impact of this proposed rule would result in a decrease in Medicare payments to HHAs of 1.8 percent ($350 million decrease) for CY 2016.

display_date: Mon, 06 Jul 2015 12:00:00 -0400

publication_date: Fri, 10 Jul 2015 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2016

regulation_number: CMS-1625-P and CMS-1625-CN

title: CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements

CMS-1611-F

Mon, 04 Nov 2019 02:38:27 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule CMS-1611-F to update Medicare's HH PPS payment rates and wage index for CY 2015. As required by Section 3131(a) of the Affordable Care Act, this rule implements the second year of the four-year phase-in of the rebasing adjustments. Payments to home health agencies (HHAs) are estimated to decrease by approximately 0.30 percent, or -$60 million in CY 2015. This rule also finalizes changes to: simplify the face-to-face encounter regulatory requirements; update the HH PPS case-mix weights; revise the home health quality reporting program requirements; simplify the therapy reassessment timeframes; revise the Speech-Language Pathology (SLP) personnel qualifications; and limit the reviewability of the civil monetary penalty provisions. Lastly, this final rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of ICD-10-CM, and a HH value-based purchasing (HH VBP) model.

display_date: Thu, 30 Oct 2014 12:00:00 -0400

publication_date: Thu, 06 Nov 2014 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2015

regulation_number: CMS-1611-F

title: Calendar Year (CY) 2015 Home Health Prospective Payment System (HH PPS) Final Rule

CMS-1611-P

Mon, 04 Nov 2019 02:37:47 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1611-P) to update Medicare's Home Health Prospective Payment System (HH PPS) payment rates and wage index for calendar year (CY) 2015. As required by Section 3131(a) of the Affordable Care Act, this rule implements the second year of the four-year phase-in of the rebasing adjustments. Payments to home health agencies (HHAs) are estimated to decrease by approximately 0.30 percent, or -$58 million in CY 2015. This proposed rule also proposes changes to: simplify the face-to-face encounter regulatory requirements; update the HH PPS case-mix weights; revise the home health quality reporting program requirements; simplify the therapy reassessment timeframes; revise the Speech-Language Pathology (SLP) personnel qualifications; and limit the reviewability of the civil monetary penalty provisions. Finally, this proposed rule also discusses Medicare coverage of insulin injections under the HH PPS, the delay in the implementation of ICD-10-CM, and solicits comments on a HH value-based purchasing (HH VBP) model.

display_date: Tue, 01 Jul 2014 12:00:00 -0400

publication_date: Mon, 07 Jul 2014 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2015

regulation_number: CMS-1611-P

title: CY 2015 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Requirements; and Survey and Enforcement Requirements for Home Health Agencies

CMS-1450-F

Mon, 04 Nov 2019 02:36:41 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1450-F) to update Medicare's Home Health Prospective Payment System (HH PPS) payment rates and wage index for calendar year (CY) 2014. As required by Section 3131(a) of the Affordable Care Act, this rule implements rebasing adjustments, with a 4-year phase-in, to the national, standardized 60-day episode payment rates; the national per-visit rates; and the NRS conversion factor. Payments to home health agencies (HHAs) are estimated to decrease by approximately 1.05 percent, or -$200 million in CY 2014, reflecting the combined effects of the 2.3 percent HH payment update percentage ($440 million increase), the rebasing adjustments to the national, standardized 60-day episode payment rate, the national per-visit payment rates, and the NRS conversion factor ($520 million decrease), and the effects of ICD-9-CM HH PPS Grouper refinements ($120 million decrease). This final rule also discusses our transition to ICD-10-CM coding, establishes home health quality reporting requirements for CY 2014 payment and subsequent years, specifies that Medicaid responsibilities for home health surveys be explicitly recognized in the State Medicaid Plan, and revises the methodology for calculating state Medicaid programs’ fair share of Home Health Agency (HHA) survey costs.

display_date: Fri, 22 Nov 2013 12:00:00 -0500

publication_date: Mon, 02 Dec 2013 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2014

regulation_number: CMS-1450-F

title: CY 2014 Home Health Prospective Payment System Rate Update, Conversion to ICD-10-CM, Home Health Quality Reporting Requirements, and Cost Allocation of Home Health Survey Expenses

CMS-1450-P

Mon, 04 Nov 2019 02:35:43 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1450-P) to update Medicare's Home Health Prospective Payment System (HH PPS) payment rates and wage index for calendar year (CY) 2014. As required by Section 3131(a) of the Affordable Care Act, this rule proposes rebasing adjustments, with a 4-year phase-in, to the national, standardized 60-day episode payment rates; the national per-visit rates; and the NRS conversion factor. Payments to home health agencies (HHAs) are estimated to decrease by approximately 1.5 percent, or -$290 million in CY 2014, reflecting the combined effects of the 2.4 percent HH payment update percentage ($460 million increase), the rebasing adjustments to the national, standardized 60-day episode payment rate, the national per-visit payment rates, and the NRS conversion factor ($650 million decrease), and the effects of ICD-9 coding adjustments ($100 million decrease). This proposed rule would also establish home health quality reporting requirements for CY 2014 payment and subsequent years and proposes to specify that Medicaid responsibilities for home health surveys be explicitly recognized in the State Medicaid Plan, which is similar to current regulations for surveys of Nursing Facilities (NF) and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID). In addition, this proposed rule also seeks comment on a methodology for calculating state Medicaid programs’ fair share of Home Health Agency (HHA) survey costs. Finally, this rule proposes to describe our transition to ICD-10-CM coding and announces the release of draft lists of ICD-10-CM codes to be included in the HH PPS Grouper. (Posted June 27, 2013)

display_date: Thu, 27 Jun 2013 12:00:00 -0400

publication_date: Wed, 03 Jul 2013 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2014

regulation_number: CMS-1450-P

title: CY 2014 Home Health Prospective Payment System Rate Update, Conversion to ICD-10-CM, Home Health Quality Reporting Requirements, and Cost Allocation of Home Health Survey Expenses

CMS-1358-F

Mon, 04 Nov 2019 02:32:17 -0500

description: A final rule was displayed at the Federal Register to update Medicare's Home Health Prospective Payment System (HH PPS) payment rates for Calendar Year (CY) 2013. Payments to home health agencies (HHAs) are estimated to decrease by approximately 0.01 percent, or -$10 million in CY 2013, reflecting the combined effects of the home health payment update ($260 million increase), wage index updates ($70 million decrease), a new FDL ratio ($50 million increase), and reductions to the HH PPS to account for a 1.32 percent case-mix coding adjustment ($250 million decrease). The rule also rebases and revises the home health market basket, allows additional regulatory flexibility regarding therapy documentation and reassessments as well as face-to-face encounter requirements, discusses the transition plan for ICD-10, and provides information on the home health study concerning home health care access. Lastly, this rule implements new requirements concerning the hospice quality reporting program and will establish requirements for unannounced, standard, and extended surveys of home health agencies (HHAs) and provide a number of alternative (or intermediate) sanctions that could be imposed if HHAs were out of compliance with Federal requirements.

display_date: Fri, 02 Nov 2012 12:00:00 -0400

publication_date: Thu, 08 Nov 2012 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2013

regulation_number: CMS-1358-F

title: CY 2013 Home Health Prospective Payment System Refinements and Rate Update, Hospice Quality Reporting Requirements, and Survey and Enforcement Requirements for Home Health Agencies

CMS-1358-P-New

Mon, 04 Nov 2019 02:31:50 -0500

description: A proposed rule was displayed at the Federal Register to update Medicare's Home Health Prospective Payment System (HH PPS) payment rates for Calendar Year (CY) 2013. Payments to home health agencies (HHAs) are estimated to decrease by approximately 0.10 percent, or -$20 million in CY 2013, reflecting the combined effects of the home health market basket update (1.5 percent) and wage index updates ($230 million increase) and reductions to the HH PPS to account for a 1.32 percent case-mix coding adjustment ($250 million decrease). The rule also proposes to rebase and revise the home health market basket, allow additional regulatory flexibility regarding therapy documentation and reassessments as well as face-to-face encounter requirements, discusses the transition plan for ICD-10, and provides information on the home health study concerning home health care access. Lastly, this rule proposes new requirements concerning the hospice quality reporting program and would establish requirements for unannounced, standard, and extended surveys of home health agencies (HHAs) and provide a number of alternative (or intermediate) sanctions that could be imposed if HHAs were out of compliance with Federal requirements.

display_date: Fri, 06 Jul 2012 12:00:00 -0400

publication_date: Fri, 13 Jul 2012 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2013

regulation_number: CMS-1358-P

title: CY 2013 Home Health Prospective Payment System Refinements and Rate Update, Hospice Quality Reporting Requirements, and Survey and Enforcement Requirements for Home Health Agencies

CMS1188342

Mon, 04 Nov 2019 02:31:07 -0500

description: Home Health Prospective Payment System Rate Update for Calendar Year 2007 and Deficit Reduction Act of 2005 Changes to Medicare Payment for Oxygen Equipment and Capped Rental Durable Medical Equipment

display_date: Wed, 01 Nov 2006 12:00:00 -0500

publication_date: Thu, 09 Nov 2006 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2007

regulation_number: CMS-1304-F

title: HH PPS Rate Update for CY 2007 & DRA of 2005 Changes to Medicare Payment for Oxygen Equipment & ...

CMS1224701

Mon, 04 Nov 2019 02:31:00 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update the Medicare Home Health Prospective Payment (HH PPS) rates for calendar year (CY) 2010. This proposed rule continues with the previously promulgated 2.75 percent reduction to the HH PPS rates in CY 2010 (to account for the increase in case-mix not due to the underlying condition of the home health patient), proposes to update the HH PPS rates by a 2.2 percent home health market basket update, and as part of efforts to address potential fraud and abuse regarding outlier payments to home health agencies proposes to cap outlier payments at 10% of total HH PPS payments, update the fixed dollar loss ratio to 0..67, and target outlier payments to be no more than 2.5 percent of total HH PPS payments (returning 2.5% back into the base rate). CMS is also proposing to require the submission of OASIS as a condition for payment, as well as adding payment safeguards to improve the enrollment process, improve quality of care, and reduce fraud. Finally, CMS is also proposing to implement a new version of OASIS, OASIS-C, on January 1, 2010.

display_date: Thu, 30 Jul 2009 12:00:00 -0400

publication_date: Thu, 06 Aug 2009 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2010

regulation_number: CMS-1560-P

title: Home Health Prospective Payment System Rate Update for Calendar Year 2010

CMS1198849

Mon, 04 Nov 2019 02:31:00 -0500

description: N/A

display_date: Fri, 27 Apr 2007 12:00:00 -0400

publication_date: Fri, 04 May 2007 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2008

regulation_number: CMS-1541-P

title: Home Health Prospective Payment System Refinement and Rate Update for Calendar Year 2008

CMS1249242

Mon, 04 Nov 2019 02:30:55 -0500

description: Home Health Prospective Payment System Refinements and Rate Update for CY 2012

display_date: Tue, 05 Jul 2011 12:00:00 -0400

publication_date: Tue, 12 Jul 2011 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2012

regulation_number: CMS-1353-P

title: HH PPS Refinements and Rate Update for CY 2012

CMS1240989

Mon, 04 Nov 2019 02:30:55 -0500

description: Home Health Prospective Payment System Rate Update for Calendar Year 2011; Changes in Certification Requirements for Home Health Agencies and Hospices

display_date: Tue, 02 Nov 2010 12:00:00 -0400

publication_date: Wed, 17 Nov 2010 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2011

regulation_number: CMS-1510-F

title: Home Health Prospective Payment System Rate Update

CMS1253622

Mon, 04 Nov 2019 02:30:55 -0500

description: Home Health Prospective Payment System Rate Update for Calendar Year 2012

display_date: Mon, 31 Oct 2011 12:00:00 -0400

publication_date: Fri, 04 Nov 2011 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2012

regulation_number: CMS-1353-F

title: Home Health Prospective Payment System Rate Update for CY 2012

CMS044799

Mon, 04 Nov 2019 02:30:55 -0500

description: This document corrects technical errors that appeared in the final rule published in the Federal Register on October 22, 2004 entitled Medicare Program Home Health Prospective Payment System Rate Update for Calendar Year 2005.

display_date: Tue, 30 Nov 2004 12:00:00 -0500

publication_date: Tue, 30 Nov 2004 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2005

regulation_number: CMS-1265-CN2

title: Medicare Program; Home Health Prospective Payment System Rate Update for CY 2005; Correct

CMS044181

Mon, 04 Nov 2019 02:30:55 -0500

publication_date: Tue, 30 Sep 2003 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2004

regulation_number: CMS-1473-NC_Correction

title: Medicare Program; Home Health Prospective Payment System Rate Update for FY 2004; Correction 2

CMS1202451

Mon, 04 Nov 2019 02:30:55 -0500

description: See below.

display_date: Wed, 22 Aug 2007 12:00:00 -0400

publication_date: Wed, 29 Aug 2007 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2008

regulation_number: CMS-1541-FC

title: Home Health Prospective Payment System Refinement & Rate Update for Calendar Year 2008

CMS053302

Mon, 04 Nov 2019 02:30:54 -0500

publication_date: Thu, 14 Jul 2005 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2006

regulation_number: CMS-1301-P

title: Home Health Prospective Payment System Rate Update for Calendar Year 2006 Proposed Rule

CMS044431

Mon, 04 Nov 2019 02:30:54 -0500

display_date: Fri, 28 Jun 2002 12:00:00 -0400

publication_date: Fri, 28 Jun 2002 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2003

regulation_number: CMS-1198-NC

title: Medicare Program; Update to the Prospective Payment System for Home Health Agencies for FY 2003

CMS1237510

Mon, 04 Nov 2019 02:30:54 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update the Medicare Home Health Prospective Payment (HH PPS) rates for calendar year (CY) 2011. Specifically, this rule proposes to update the rates by the home health market basket update minus 1 percentage point, per the Affordable Care Act (ACA) of 2010 (for a 1.4% increase), and update the case-mix reduction percentage for CY 2011 to 3.79% to account for the additional increases in case-mix not due to the underlying condition of the home health patient. The rule also proposes implementation approaches for ACA provisions which affect home health outlier payments and certification requirements for the Medicare home health and hospice benefits. In addition, this rule proposes changes to the HH capitalization requirements, proposes to add clarifying language to home health the therapy coverage regulations, and provides clarification regarding the quality reporting requirements for the CY 2012 HH PPS rate update as it relates to HHCAHPS.

display_date: Fri, 16 Jul 2010 12:00:00 -0400

publication_date: Fri, 23 Jul 2010 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2011

regulation_number: CMS-1510-P

title: Home Health Prospective Payment System Refinements and Rate Update for CY 2011

CMS1230142

Mon, 04 Nov 2019 02:30:54 -0500

description: The Centers for Medicare & Medicaid Services (CMS) issued a final rule to update the Medicare Home Health ospective Payment (HH PPS) rates for calendar year (CY) 2010. This final rule continues with the previously promulgated 2.75 percent reduction to the HH PPS rates in CY 2010 (to account for the increase in case-mix not due to the underlying condition of the home health patient), updates the HH PPS rates by a 2.0 percent home health market basket update, and as part of efforts to address potential fraud and abuse regarding outlier payments to home health agencies revises its outlier policy (for CY 2010) by capping outlier payments at 10 percent of total HH PPS payments, updating the fixed dollar loss ratio to 0.67, and targeting outlier payments to be no more than 2.5 percent of total HH PPS payments (returning 2.5 percent back into the base rate). CMS will also require the submission of OASIS as a condition for payment, and is implementing a new version of OASIS, OASIS-C, beginning January 1, 2010. CMS is also adding payment safeguards to improve the enrollment process, improve quality of care, and reduce fraud.

display_date: Fri, 30 Oct 2009 12:00:00 -0400

publication_date: Tue, 10 Nov 2009 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2010

regulation_number: CMS-1560-F

title: Home Health Prospective Payment System Rate Update

CMS1216666

Mon, 04 Nov 2019 02:30:54 -0500

description: This notice sets forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health services, effective on January 1, 2009.

display_date: Thu, 30 Oct 2008 12:00:00 -0400

publication_date: Mon, 03 Nov 2008 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2009

regulation_number: CMS-1555-N/ CMS-1555-CN

title: Home Health Prospective Payment System Rate Update for Calendar Year 2009

CMS044169

Mon, 04 Nov 2019 02:30:54 -0500

description: This notice with comment period sets forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health agencies. It also responds to public comments received on the June 28, 2002 notice with comment period, which set forth the home health prospective payment system rate update for FY 2003.

display_date: Wed, 02 Jul 2003 12:00:00 -0400

publication_date: Wed, 02 Jul 2003 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2004

regulation_number: CMS-1473-NC

title: Medicare Program; Home Health Prospective Payment System Rate Update; Notice

CMS044482

Mon, 04 Nov 2019 02:30:54 -0500

description: Corrections to the HH PPS Update Notice ---------------------------------The wage index that was published in Addendum A, the FY 2001 Wage Index for Rural Areas -- Pre-floor and Pre-reclassified contains an error. The wage index for New Mexico should be .8497, not .8479. The wage index that was published in Addendum B, the FY 2001 Wage Index for Urban Areas -- Pre-floor and Pre-reclassified contains an error. The wage index for San Jose, CA and Santa Clara, CA (MSA 7400) should be 1.3652, not 1.3656. The wage index for Vallejo-Fairfield-Napa, CA, Napa, CA, and Solano, CA (MSA 8720) should be 1.2847. The typesetting in the notice makes it appear that MSA 8720 has two wage indices, 1.2847 and 1.1030. MSA 8720 has only one wage index and it is 1.2847. The next MSA number listed is 8735 for Ventura, CA and appears to have no wage index. MSA 8735 should have a wage index of 1.1030.

display_date: Tue, 03 Jul 2001 12:00:00 -0400

publication_date: Tue, 03 Jul 2001 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2002

regulation_number: CMS-1147-CN

title: Medicare Program; Update to the PPS for Home Health Agencies for FY 2002; Correction

CMS043964

Mon, 04 Nov 2019 02:30:54 -0500

description: N/A

display_date: Mon, 18 Oct 2004 12:00:00 -0400

publication_date: Fri, 22 Oct 2004 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2005

regulation_number: CMS-1265-F

title: Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005

CMS053301

Mon, 04 Nov 2019 02:30:54 -0500

publication_date: Wed, 09 Nov 2005 12:00:00 -0500

qualified_year_ref: Calendar Year (CY) 2006

regulation_number: CMS-1301-F

title: Home Health Prospective Payment System Rate Update for Calendar Year 2006

CMS044502

Mon, 04 Nov 2019 02:30:54 -0500

description: This proposed rule would establish requirements for the new prospective payment system for home health agencies as required by section 4603 of the Balanced Budget Act of 1997, as amended by section 5101 of the Omnibus Consolidated and Emergency Supplemental Appropriations Act for Fiscal Year 1999. These include the implementation of a prospective payment system for home health agencies, consolidated billing requirements, and a number of other related changes. The prospective payment system described in this rule would replace the retrospective reasonable-cost-based system currently used by Medicare for the payment of home health services under Part A and Part B.

display_date: Thu, 28 Oct 1999 12:00:00 -0400

publication_date: Thu, 28 Oct 1999 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2001

regulation_number: HCFA-1059-P

title: Medicare Program; Prospective Payment System for Home Health Agencies

CMS044473

Mon, 04 Nov 2019 02:30:54 -0500

display_date: Fri, 29 Jun 2001 12:00:00 -0400

publication_date: Fri, 29 Jun 2001 12:00:00 -0400

qualified_year_ref: Fiscal Year (FY) 2002

regulation_number: CMS-1147-NC

title: Medicare Program; Update to the Prospective Payment System for Home Health Agencies for FY 2002

CMS044051

Mon, 04 Nov 2019 02:30:53 -0500

description: N/A

display_date: Wed, 02 Jun 2004 12:00:00 -0400

publication_date: Wed, 02 Jun 2004 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2005

regulation_number: CMS-1265-P

title: Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005; Proposed

CMS1185002

Mon, 04 Nov 2019 02:30:53 -0500

description: This proposed rule would set forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health agencies. In addition, this proposed rule would set forth policy changes related to Medicare payment for certain durable medical equipment for the purpose of implementing sections 1834(a)(5) and 1834(a)(7) of the Social Security Act, as amended by section 5101 of the Deficit Reduction Act of 2005. We are also inviting comments on a number of issues including payments based on reporting quality data and health information technology, as well as how to improve data transparency for consumers.

display_date: Thu, 27 Jul 2006 12:00:00 -0400

publication_date: Thu, 03 Aug 2006 12:00:00 -0400

qualified_year_ref: Calendar Year (CY) 2007

regulation_number: CMS-1304-P

title: Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2007 and Deficit Reduction Act of 2005 Changes to Medicare Payment for Oxygen Equipment and Capped Rental Durable Medical Equipment; Proposed Rule