HomeLatest NewsFederal NewsCMS Released Home Health Proposed Rules

CMS Released Home Health Proposed Rules

Recently, the Centers for Medicare and Medicaid Services (CMS) released their proposed rules for the Home Health (HH) Prospective Payment System (PPS). SDAHO home health members will receive individual analyses to show the impact the rules will have on their specific facility.
Among the proposed updates are:
  • Recalibration of the Patient-Driven Grouping Model (PDGM) case-mix weights, LUPA thresholds, functional levels, and comorbidity adjustment subgroups;
  • Payment adjustments to reflect the impact of differences between assumed behavior changes and actual behavior changes on estimated aggregate payment expenditures under the HH PPS;
  • Creation of a permanent 5% cap on wage index decreases;
  • Updates to the expanded HH value-based purchasing (VBP) program;
  • Updates to the HH quality reporting program (QRP); and
  • Updates to home infusion therapy rates.

Comments on the rules are due August 16 and can be made here.Ā For more information, contactĀ Jacob Parsons, SDAHOā€™s Director of Fiscal Policy.

Stay Connected

Unified Voice Newsletter

Events This Month

Current Month

November

05nov1:00 pm2:00 pmHealth Literacy: How to Help Patients Make Appropriate Health DecisionsSDAHO Webinar

06nov10:00 am11:00 amChallenges and Winning Practices for Behavioral Health Management (member only)SDAHO Webinar

06nov1:00 pm2:00 pmWhat You May Not Realize about Bereavement Care for Veterans and their FamiliesNHPCO Webinar

06nov2:00 pm3:00 pmWhy Referring Clinicians Hesitate To Consult Palliative Care and What We Should Do DifferentlyWebinar

07nov8:00 am9:00 amMeeting the Need: Learning to Support Families Who Have a Dying Child in Your NeighborhoodWebinar