---
kind: "section"
citation: "42 C.F.R. § 484.320"
title: "42"
number: "484.320"
heading: "Calculation of the Total Performance Score."
url: "https://uscodex.org/cfr/42/484.320"
---

# §484.320. Calculation of the Total Performance Score.


A competing home health agency's Total Performance Score for a model year is calculated as follows:

- (a) CMS will award points to the competing home health agency for performance on each of the applicable measures excluding the New Measures.
- (b) CMS will award points to the competing home health agency for reporting on each of the New Measures worth up to ten percent of the Total Performance Score.
- (c)
  - (1) For performance years 1 through 3, CMS will sum all points awarded for each applicable measure excluding the New Measures, weighted equally at the individual measure level to calculate a value worth 90 percent of the Total Performance Score.
  - (2) For performance years 4 and 5, CMS will sum all points awarded for each applicable measure within each category of measures (OASIS-based, claims-based and HHCAHPS) excluding the New Measures, weighted at 35 percent for the OASIS-based measure category, 35 percent for the claims-based measure category, and 30 percent for the HHCAHPS measure category when all three measure categories are reported, to calculate a value worth 90 percent of the Total Performance Score.
- (d) The sum of the points awarded to a competing HHA for each applicable measure and the points awarded to a competing HHA for reporting data on each New Measure is the competing HHA's Total Performance Score for the calendar year.

## Notes

### Amendments

[80 FR 68718, Nov. 5, 2015, as amended at 81 FR 76796, Nov. 3, 2016; 83 FR 56630, Nov. 13, 2018]

### Source

Source: 80 FR 68718, Nov. 5, 2015, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 54 FR 33367, Aug. 14, 1989, unless otherwise noted.

### Amendments

[80 FR 68718, Nov. 5, 2015, as amended at 81 FR 76796, Nov. 3, 2016; 83 FR 56630, Nov. 13, 2018]