CMS proposes 2018 and 2019 payment changes for home health

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The CMS proposed rule updates 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, 2018.

This rule also:

  • updates the HH PPS case-mix weights
  • implements the 3rd-year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment
  • proposes case-mix methodology refinements, as well as a change in the unit of payment from 60-day episodes of care to 30-day periods of care, to be implemented for home health services beginning on or after January 1, 2019; and
  • proposes changes to the Home Health Value-Based Purchasing (HHVBP) Model and to the Home Health Quality Reporting Program (HH QRP)

Comments are due to CMS by September 25, 2017.