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 finalized the Medicare Home Health Prospective Payment System rule for calendar year 2026, establishing updated payment rates and recalibrating case-mix weights, functional impairment levels, comorbidity subgroups, and LUPA thresholds. The rule also makes permanent and temporary behavior adjustments and revises the face-to-face encounter policy. Additional changes address the Home Health Quality Reporting Program, the expanded HHVBP Model, DMEPOS Competitive Bidding Program, supplier accreditation, and provider enrollment requirements.

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