{"abstract":"This proposed rule updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60- day episode payment rates, the national per-visit rates, and the non- routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2018. This rule also: updates the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking; implements the 3rd- year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment to account for estimated case-mix growth unrelated to increases in patient acuity (that is, nominal case-mix growth) between CY 2012 and CY 2014; and discusses our efforts to monitor the potential impacts of the rebasing adjustments that were implemented in CY 2014 through CY 2017. This rule proposes case-mix methodology refinements, as well as a change in the unit of payment from 60-day episodes of care to 30-day periods of care, to be implemented for home health services beginning on or after January 1, 2019; and finally, this rule proposes changes to the Home Health Value- Based Purchasing (HHVBP) Model and to the Home Health Quality Reporting Program (HH QRP).","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2017/07/28/2017-15825.html","cfr_references":[{"chapter":null,"citation_url":null,"part":409,"title":42},{"chapter":null,"citation_url":null,"part":484,"title":42}],"citation":"82 FR 35270","comment_url":null,"comments_close_on":"2017-09-25","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 25, 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10:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-07-28/pdf/2017-15825.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-15825.pdf?1501013726","publication_date":"2017-07-28","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2017/07/28/2017-15825.txt","regulation_id_number_info":{"0938-AT01":{"issue":"201704","html_url":"https://www.federalregister.gov/regulations/0938-AT01/cy-2018-home-health-prospective-payment-system-rate-update-value-based-purchasing-model-and-quality-","title":"CY 2018 Home Health Prospective Payment System Rate Update; Value-Based Purchasing Model; and Quality Reporting Requirements (CMS-1672-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201704&RIN=0938-AT01&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT01"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT01/cy-2018-home-health-prospective-payment-system-rate-update-value-based-purchasing-model-and-quality-","title":"CY 2018 Home Health Prospective Payment System Rate Update; Value-Based Purchasing Model; and Quality Reporting Requirements (CMS-1672-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2017-0100","supporting_documents_count":0,"docket_id":"CMS-2017-0100","regulation_id_number":"0938-AT01","title":"Medicare and Medicaid Programs; CY 2018 Home Health Prospective Payment System Rate Update and Proposed CY 2019 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements” (CMS-1672-P)","checked_regulationsdotgov_at":"2017-09-26T05:00:52Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":35270,"subtype":null,"title":"Medicare and Medicaid Programs; CY 2018 Home Health Prospective Payment System Rate Update and Proposed CY 2019 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements","toc_doc":"Home Health Prospective Payment System Rate Update, etc.","toc_subject":"Medicare and Medicaid Programs:","topics":["Health facilities","Health professions","Medicare","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":82}