Home Health Prospective Payment System
(HHPPS) Rates by CBSA
To qualify for the Medicare home health benefit, a Medicare beneficiary must be under the care of a physician, have an intermittent need for skilled nursing care or need physical or speech therapy or continue to need occupational therapy. The beneficiary must be homebound and receive home health services from a Medicare-approved home health agency.
Medicare pays home health agencies through a system of prospective payments that pays at higher rates to care for those beneficiaries with greater needs. Payment rates are based on relevant data from patient assessments conducted by clinicians.
Home health payment rates are updated annually by the Centers for Medicare & Medicaid Services. BKD understands these rates are critical to your business operations and is making available the rates for your agency’s service area.