CMS-1803-F

Dynamic List Information
Dynamic List Data
Regulation No.
CMS-1803-F
Title
CY 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies Requirements
Publication Date
2024-11-07
Description
CMS issued a final rule [CMS-1803-F] that finalizes routine updates to the Medicare home health payment rates; the payment rate for the disposable negative pressure wound therapy (dNPWT) devices; and the Intravenous Immune Globulin (IVIG) items and services payment rate for CY 2025 in accordance with existing statutory and regulatory requirements. In addition, it finalizes changes to the HH QRP requirements and provides an update on potential approaches for integrating health equity in the Expanded HHVBP Model. It also proposes a new standard for acceptance to service policy in the HH conditions of participation (CoPs) and includes requests for information (RFIs) soliciting input on permitting rehabilitative therapists to conduct the initial and comprehensive assessment and the factors that may influence the patient referral and intake processes. Lastly, it finalizes updates to provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses.
Display Date
2024-11-01

 A correction notice to the CY 2025 Home Health Prospective System Final Rule is forthcoming. The CY 2025 final rule, which displayed at the Federal Register on November 1, 2024 included the wrong low comorbidity subgroup list; however, both the CY 2025 Final Low Comorbidity and High Comorbidity Adjustment Interactions (ZIP) file in the Downloads section and the Home Health PPS Grouper Software (HHGS) | CMS contain the correct low comorbidity subgroups. The rule contains policies which will be effective January 1, 2025.

We will update the HH PPS Center webpage once the correction notice has been issued.