---
kind: "section"
citation: "42 C.F.R. § 484.330"
title: "42"
number: "484.330"
heading: "Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model."
url: "https://uscodex.org/cfr/42/484.330"
---

# §484.330. Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model.

- (a) **General.** Competing home health agencies will be ranked within the larger-volume and smaller-volume cohorts in selected states based on the performance standards that apply to the HHVBP Model for the baseline year, and CMS will make value-based payment adjustments to the competing HHAs as specified in this section.
- (b) **Calculation of the value-based payment adjustment amount.** The value-based payment adjustment amount is calculated by multiplying the Home Health Prospective Payment final claim payment amount as calculated in accordance with [§ 484.205](/cfr/42/484.205.md) by the payment adjustment percentage.
- (c) **Calculation of the payment adjustment percentage.** The payment adjustment percentage is calculated as the product of: The applicable percent as defined in [§ 484.320](/cfr/42/484.320.md), the competing HHA's Total Performance Score divided by 100, and the linear exchange function slope.

## Notes

### 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.