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

CMS has released a proposed rule updating Medicare home health payment rates for calendar year 2026 under the Home Health Prospective Payment System. Key proposals include recalibrating case-mix weights, revising functional impairment levels and comorbidity subgroups, adjusting LUPA thresholds, and modifying the face-to-face encounter policy. The rule also proposes changes to the Home Health Quality Reporting Program, the expanded HHVBP Model, DMEPOS Competitive Bidding Program, and provider enrollment requirements.

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