Input on CY 2025 Proposed Home Health Payment Rule Sought
(July 16, 2024) The Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update and Home Infusion Therapy Services Requirements Proposed Rule was released on the Federal Register public inspection site on June 26th and published in the Federal Register on July 3rd. LeadingAge National analyzed the rule for members in an article available here. The rule can be found here. Comments on the rule must be submitted by Aug. 26th.
The overall economic impact related to changes in payments under the HH PPS for CY 2025 is estimated to be -$280 million (-1.7 percent). The proposed rule includes a 2.5 percent market-basket adjustment, which is offset by another 3.6 percent decrease related to permanent behavioral assumptions adjustment to all payments. The rule also includes adjustments to the wage index based on the 2020 census as well as four new items for the Outcome and Assessment Information Set (OASIS). The Centers for Medicare and Medicaid Services (CMS) is also proposing changes to the Conditions of Participation (CoP) which would require agencies to develop, consistently apply, and maintain an acceptance to service policy.
Members are encouraged to attend the LeadingAge National CY 2025 Home Health Comment and Feedback Session on Thurs., July 18th from 2-3:30 p.m. ET. LeadingAge National will host a special Home Health Member Network meeting to discuss the recently released rule. The discussion will last 90 minutes and cover payment, quality reporting, home health value-based purchasing, proposed CoP changes for acceptance to service policy, and multiple requests for information. To join this special event, register here.
Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871