9 Jul 2025

💊Medicare and Medicaid Updates for Home Health Payment Systems

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

Summary ?

This regulatory document addresses updates to the Medicare and Medicaid Programs, specifically focusing on the Home Health Prospective Payment System for 2026. It includes details on quality reporting requirements, value-based purchasing models, accreditation requirements for durable medical equipment, and other related policies essential for healthcare providers to understand for compliance and operational adjustments.

Agencies

  • Health and Human Services Department
  • Centers for Medicare & Medicaid Services

Business Impact ?

$$$ - High

The content outlines updates to Medicare and Medicaid programs, which directly impacts compliance and regulatory requirements for healthcare businesses and providers. The proposed rules regarding home health payments and competitive bidding may necessitate changes in business operations and financial planning for healthcare service providers.

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