§484.370. Process for determining and applying the value-based payment adjustment under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
42 C.F.R. § 484.370
General. Competing home health agencies are ranked within the larger-volume and smaller-volume cohorts nationwide based on the performance standards in this part that apply to the expanded HHVBP Model, and CMS makes value-based payment adjustments to the competing HHAs as specified in this section.
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 by the payment adjustment percentage.
Calculation of the payment adjustment percentage. The payment adjustment percentage is calculated as the product of all of the following:
The applicable percent as defined in § 484.345.
The competing HHA's Total Performance Score divided by 100.
The linear exchange function slope.
Notes, amendments, and revision history
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]