Home Health Line Breaking News
01/05/2026
The industry was excited last year to have Endocrine 3 (Type 1, Type 2, and Other specified diabetes) added to the low comorbidity list, but the subgroup will be removed in 2026 as part of the changes finalized in the 2026 home health payment final rule, released Nov. 28.
01/04/2026
An employee/contractor claimed to have provided applied behavior analysis therapy when he wasn't qualified to perform those services, the DOJ alleges.
12/22/2025
Effective date for the OASIS-E2 is April 1, 2026. Appendix D of the draft manual details the changes from OASIS-E1 to E2.
12/21/2025
CMS is planning a new model for 2027 that is expected to make participation with Accountable Care Organizations (ACOs) easier for fee-for-service providers.
12/19/2025
The U.S. Office of Inspector General (OIG) released the results of a compliance audit into Texas-based home health agency Guardian Home Care on Dec. 17, 2025. The report was part of a series of nationwide audits that examined compliance with Medicare billing requirements for home health services from July 1, 2021, to June 30, 2023.  
12/15/2025
A general description of the measure that could be applicable to many provider types focuses on patients with an ACP document on file or documentation of an ACP discussion.
12/14/2025
CMS is updating the dollar amount in controversy required to sustain appeal rights for an Administrative Law Judge hearing or Federal District Court review in 2026. 
12/12/2025
The use of digital medical service tools among older adults saw a significant increase in the past year, according to the AARP’s 2026 Tech Trends and Adults 50-Plus report, released Dec. 8, 2025. While only 35% of those over the age of 50 reported using services like GoodRX, LifeAlert or digital health records in 2024, this proportion jumped to 46% in 2025. 
12/09/2025
CMS is making changes to Chapter 9 of the Medicare Benefit Policy Manual to reflect updates in the 2026 hospice payment final rule.
12/08/2025
MedPAC members met Dec. 5, 2025, to discuss payment adequacy for home health providers. Staff noted expectations that providers would see fee-for-service Medicare margins of 19% in 2026.

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