---
kind: "section"
citation: "42 C.F.R. § 484.350"
title: "42"
number: "484.350"
heading: "Applicability of the Expanded Home Health Value-Based Purchasing (HHVBP) Model."
url: "https://uscodex.org/cfr/42/484.350"
---

# §484.350. Applicability of the Expanded Home Health Value-Based Purchasing (HHVBP) Model.

- (a) **General rule.** The expanded HHVBP Model applies to all Medicare-certified HHAs nationwide.
- (b) **New HHAs.** A new HHA is certified by Medicare on or after January 1, 2022. For new HHAs, the following apply:
  - (1) The HHA baseline year is the first full calendar year of services beginning after the date of Medicare certification.
  - (2) **The first performance year is the first full calendar year following the HHA baseline year.**
- (c) **Existing HHAs.** An existing HHA is certified by Medicare before January 1, 2022 and the HHA baseline year is CY 2022.

## Notes

### Amendments

[86 FR 62422, Nov. 9, 2021, as amended at 87 FR 66887, Nov. 4, 2022]

### Source

Source: 86 FR 62422, Nov. 9, 2021, unless otherwise noted.

### 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

[86 FR 62422, Nov. 9, 2021, as amended at 87 FR 66887, Nov. 4, 2022]