Data / Federal rules / 2026-13602
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
The Centers for Medicare & Medicaid Services published this proposed rule in the Federal Register on July 6, 2026. Comments closed on August 31, 2026.
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What the agency says
This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule discusses the behavior adjustment and proposes a temporary behavior adjustment and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low- utilization payment adjustment (LUPA) thresholds for CY 2027. Additionally, this proposed rule discusses the provision of home health palliative care services and includes a request for information (RFI) on a home health specific wage index. This rule would also propose changes to the Home Health Quality Reporting Program (HH QRP) and summarizes potential initiatives to improve alignment between the HH QRP and expanded Home Health Value Based Purchasing (HHVBP) Model. Lastly, the rule would--clarify the application of the DMEPOS face-to- face encounter requirements for the replacement of DMEPOS items; make changes to the provider and supplier enrollment requirements; make changes regarding DME benefit expansion for infusion pumps and drugs; and discuss collection of information requirement changes regarding the DMEPOS Competitive Bidding Program (CBP) country of origin.
Key facts
- Document number
- 2026-13602
- Type
- Proposed rule
- Action
- Proposed rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- July 6, 2026
- Comments due
- August 31, 2026
- Dates
- To be assured consideration, comments must be received at one of the addresses provided in the ADDRESSES section, no later than 5 p.m. EDT on August 31, 2026.
- Docket
- CMS-1844-P
- Regulation ID (RIN)
- 0938-AV80
- Code of Federal Regulations
- 42 CFR 405; 42 CFR 410; 42 CFR 414; 42 CFR 422; 42 CFR 423; 42 CFR 424; 42 CFR 484; 42 CFR 498
- Topics
- Administrative practice and procedure; Biologics; Diseases; Drugs; Emergency medical services; Health facilities; Health maintenance organizations (HMO); Health professions; Incorporation by reference; Laboratories; Medical devices; Medicare; Penalties; Privacy; Reporting and recordkeeping requirements; Rural areas; X-rays
- Pages
- 112
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on biologics · Rules on diseases · Published in July 2026
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.