CMS released an updated version of the Home Health Grouper to account for changes coming to high and low comorbidity adjustments, set to take effect Jan. 1, 2027.
Key updates include:
- The addition of four low comorbidity subgroups: Circulatory 7, Endocrine 3, Renal 3, Respiratory 10
- The removal of two current low comorbidity subgroups: Musculoskeletal 1 and Neoplasms 6
- The addition of 51 comorbidity subgroup interactions that are applicable for a high comorbidity adjustment and the removal of 46 current interactions
Changes were also made to the functional impairment responses, values, categories, limits or points and the clinical group thresholds.
Note: There were no changes made to primary diagnosis clinical group assignments in the January Grouper.