Federal Register Proposed Rule: Medicare Program; Calendar Year (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
Policy FR-2024-14254 • Home Health
The proposed rule updates payment rates for home health services, impacting reimbursement for home health agencies. Changes to the Home Health Quality Reporting Program and value-based purchasing mode
Federal Register Proposed Rule: Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements
Policy FR-2023-14044 • Home Health
The proposed rule outlines updates to the Medicare home health payment rates for CY 2024, impacting reimbursement for home health services. Key changes include adjustments to payment rates, revisions
Federal Register Final Rule: Medicare and Medicaid Programs; Calendar Year 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; Provider Enrollment; and Other Medicare and Medicaid Policies
Policy FR-2025-21767 • Home Health
The recent updates to the Home Health Prospective Payment System (HH PPS) will alter reimbursement rates for home health services, impacting providers' financial stability. Changes to behavior adjustm
Federal Register Final Rule: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Policy FR-2025-14782 • Home Health
The FY 2026 Hospice Wage Index and Payment Rate Update will adjust reimbursement rates, impacting the overall funding available to hospice providers. Changes to admission regulations and face-to-face
Federal Register Notice: Privacy Act of 1974; System of Records
Policy FR-2025-13004 • Home Health
The modification of the HHA OASIS SORN impacts billing by requiring home health agencies to collect outcome and assessment data for all patients, not just those under Medicare or Medicaid. This change
Federal Register Proposed Rule: Medicare and Medicaid Programs; Calendar Year 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; Provider Enrollment; and Other Medicare and Medicaid Policies
Policy FR-2025-12347 • Home Health
The proposed rule for the CY 2026 Home Health PPS rate update aims to adjust Medicare home health payment rates, impacting reimbursement significantly. Changes include recalibrating case-mix weights a
Federal Register Final Rule: Medicare Program; Calendar Year (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
Policy FR-2024-25441 • Home Health
The final rule for CY 2025 introduces updated Medicare home health payment rates, impacting reimbursement for home health agencies. Changes include adjustments to rates for dNPWT devices and IVIG serv
Federal Register Final Rule: Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements
Policy FR-2023-24455 • Home Health
The updated Medicare home health payment rates for CY 2024 will impact reimbursement levels for home health services, introducing significant changes to quality reporting requirements and the payment
LCD L34562: Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances — Palmetto GBA
Policy LCD-L34562 • Home Health
The new LCD may lead to increased scrutiny of Home Health claims related to Alzheimer's Disease and behavioral disturbances. Providers may face challenges ensuring compliance with the teaching and tra
LCD L33942: Physical Therapy - Home Health — CGS
Policy LCD-L33942 • Home Health
The new LCD for Physical Therapy in Home Health set to take effect on 08/07/2025 may lead to changes in billing protocols that could impact reimbursements. Providers will need to ensure compliance wit
CMS Transmittal R7P247i: This transmittal updates Chapter 47, Home Health Agency Cost Report, Form CMS-1728-20, by…
Policy CMS-T-R7P247i • Home Health
This transmittal updates Chapter 47 related to Home Health Agency Cost Report, specifically Form CMS-1728-20. Billing teams should review the new guidelines to ensure compliance with the updated repor
2026 Home Health Prospective Payment
Policy HOME-HEALTH-PROSPECTIVE-PAYMENT-2026 • Home Health
2026 Home Health Prospective Payment — official CMS fee schedule. Effective January 1, 2026.