CMS CY 2026 Home Health Prospective Payment System Final Rule

Published: 12/05/2025

Sources:
  • Centers for Medicare and Medicaid Services
Relevant To:
  • Home Health

On November 28, CMS issued the Calendar Year 2026 Home Health Prospective Payment System (HHA PPS), which includes a modest market-basket increase and incorporates permanent and temporary behavioral adjustments resulting in an overall 1.3% reduction in Medicare payments to home health agencies for 2026. CMS attributes these reductions to ongoing efforts to align actual provider behavior with assumptions built into the Patient-Driven Groupings Model (PDGM).

Beyond payment changes, CMS finalize

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