CHA News Article

CMS Issues Home Health PPS Proposed Rule

Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued the attached proposed rule for the home health prospective payment system (PPS) for calendar year (CY) 2018. In addition to updating payment rates and the wage index, CMS proposes to redesign the payment system in 2019. 

Specifically, CMS proposes to update the standard home health PPS rates by 1 percent from CY 2017 payment rates. Additionally, CMS proposes refinements to the case-mix adjustment methodology, including a change in the unit of payment from 60-day episodes of care to 30-day episodes for periods of care beginning on or after Jan. 1, 2019. The proposed rule also includes proposals for the home health value-based purchasing model and Quality Reporting Program.

In addition to the proposed rule, CMS released a request for information to encourage continued feedback on the Medicare program and to solicit ideas for regulatory, sub-regulatory, policy, practice and procedural changes to support increased quality of care and decreased costs. 

CHA is currently reviewing the proposed rule and will provide members with a more detailed summary in the coming weeks. CHA will also schedule a member forum to provide an overview of the proposed rule’s payment, quality and other provisions, and to solicit member input for comments, which will be due in approximately 60 days. Additional information will be available in CHA News.