Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies

CMS has issued a proposed rule outlining Medicare home health payment rate updates for calendar year 2027, including recalibration of case-mix weights, functional impairment levels, comorbidity subgroups, and low-utilization payment adjustment thresholds. The proposal also addresses a temporary behavior adjustment, palliative care service delivery in home health, and changes to the Home Health Quality Reporting Program and expanded Value-Based Purchasing Model. Physical therapists working in home health settings should note the proposed DMEPOS face-to-face encounter clarifications and provider enrollment requirement modifications included in the rule.

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