CMS Proposed Changes to the HHQRP
In the proposed rule for the calendar year (CY) 2016 Home Health Prospective Payment System Rate Update, the Centers for Medicare & Medicaid Services (CMS) proposes additional home health quality reporting requirements as part of the home health quality reporting program (HHQRP).
The HHQRP requires that home health agencies submit selected quality data in order to receive the full annual payment update (APU) for the payment year associated with the respective reporting year. Agencies that do not submit the quality data, as required by the HHQRP, are subject to a 2% market basket percentage reduction in payments.
The current HHQRP requires agencies to submit 70% of their Outcome and Assessment Information Set (OASIS) quality assessments and quarterly Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) data in order to receive the full APU.
In the proposed rule, CMS proposes to increase the OASIS assessment submission threshold to 80% for the reporting year that begins July 1, 2016, through June 30, 2017, for payment year 2018, and 90 % for the reporting year July 1, 2017, through June 30, 2018, for payment year 2019 and forward.
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