Home Health Rural Add-On Policy

Section 4137 of the Consolidated Appropriations Act, 2023 extends the rural add-on policy by providing an increase of 1% of the payment amount made for home health services provided in the ‘‘low population density’’ category for CY 2023.

Section 50208 of the Bipartisan Budget Act of 2018 requires providers to submit county codes on all home health prospective payment system claims starting on January 1, 2019. Home health agencies should continue to report value code 85 and an associated Federal Information Processing System (FIPS) state and county code on all claims.

View the Home Health Claims Processing Manual (PDF) for more information.