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The 2026 Home Health Final Rule: What It Really Means for Your Agency

The 2026 Home Health Final Rule: What It Really Means for Your Agency

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Explore the essential updates from the official CMS Fact Sheet on the 2026 Home Health Final Rule in this episode of Home Health Revealed, hosted by Hannah Vale. This episode breaks down what the CMS rule means for home health agencies, covering payment changes, compliance updates, and care quality adjustments.

Key highlights include:

  • A 2.4% market payment update, offset by adjustments, resulting in an overall 1.3% reduction in Medicare payments to home health agencies.

  • Recalibrated PDGM case-mix weights and updated LUPA thresholds, changing how agencies need to plan visits and document care.

  • Important changes to the Home Health Quality Reporting Program (QRP), including removal of the COVID-19 vaccination measure, as well as updates to OASIS data elements.

  • The launch of a revised Home Health CAHPS survey, new value-based purchasing measures, and changes in quality measure weightings.

  • New compliance provisions and revised provider enrollment rules designed to ensure program integrity and fight fraud.

Whether you’re an agency leader, clinician, or RCM professional, this episode provides everything you need to know direct from CMS guidance to keep your agency compliant, competitive, and prepared for 2026. Don’t miss Hannah’s expert take and practical tips for navigating the year’s most important regulatory updates.

Like, share, and subscribe for more insights on home health policy, revenue cycle optimization, and industry trends.

#HomeHealthRevealed #CMSFinalRule #HomeHealth2026

Chapters
  • (00:00:02) - Home Health Revealed
  • (00:00:36) - CMS Final Rules for Home Health Services (2026)
  • (00:03:28) - CMS Final Rule 1, Home Health Payment Rates
  • (00:05:47) - CMS Rule 6, Home Health Quality Reporting Program (HHQ
  • (00:12:36) - CMS Final Rule 2026 for DME POS
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