11 Jul 2025
🏥Medicare and Medicaid Home Health Payment System Updates
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
The Department of Health and Human Services has proposed updates to the Home Health Prospective Payment System (HH PPS), which includes rate adjustments and new requirements for quality reporting and value-based purchasing. Additional updates pertain to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program, influencing provider enrollment and compliance with new Medicare and Medicaid policies.
Agencies
- Health and Human Services Department
- Centers for Medicare & Medicaid Services
Business Impact
$$ - Med
The proposed rule outlines updates to the Home Health Prospective Payment System, which directly affects reimbursement rates and compliance for healthcare providers. These changes may require businesses to adjust financial planning and operational strategies within the Medicare and Medicaid programs.