Home Health Line Breaking News
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.
12/07/2025
CMS is hoping to partner with state tax authorities to strengthen state-federal enforcement against fraudulent Medicare providers. Under the Fraud Tax Project, which was announced on Nov. 25, 2025, Health care providers who bill fraudulent insurance claims often fail to report the associated income on their tax returns, creating a dual-layered crime that drains both federal and state tax systems, according to CMS. 
12/02/2025
CMS has started providing a preview of agency performance on the HHVBP 2026 measure set, starting with the October 2025 IPRs.  
12/02/2025
Until the question is removed, any valid response will be acceptable on a transfer, death at home or discharge OASIS assessment.
12/02/2025
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, 2026.
12/01/2025
Hospice stakeholders are urging CMS to pause a Hospice Outcomes and Patient Evaluation (HOPE) requirement that would penalize providers for late record submissions, according to a letter addressed to CMS Administrator Dr. Mehmet Oz. The letter was published by officials from LeadingAge, the National Alliance for Care at Home and the National Partnership for Healthcare and Hospice Innovation on Nov. 24, 2025.  
11/28/2025
CMS had plotted a 6.4% payment cut in the proposed rule released in June.
11/24/2025
Providers can expect to see increased scrutiny around billing of single-discipline visit units, as the HHS Office of Inspector General (OIG) added a new home health-related target to its work plan this month. 
11/24/2025
Four California residents connected to fraudulent hospices were sentenced to prison and ordered to pay restitution in recent months, according to a press release published by the U.S. Department of Justice (DOJ) on Nov. 18, 2025. 
11/21/2025
Notably absent: CMS didn’t update the measures Discharge Function Score or the Transfer of Health Information to the Provider. With the Care Compare update, the items are publicly reported as “Not available.”

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