This regulation establishes the basis and scope for the Medicare prospective payment system (PPS) for Home Health Agencies (HHAs), implementing section 1895 of the Social Security Act for cost reporting periods on or after October 1, 2000. It outlines the framework for payment rates, adjustments, and related rules for home health services. This rule governs home health agency reimbursement methodology and does not apply to any behavioral health, IDD, ABA, or foster care facility type.
View official source§ 484.200 Basis and scope. (a) Basis. This subpart implements section 1895 of the Act, which provides for the implementation of a prospective payment system (PPS) for HHAs for portions of cost reporting periods occurring on or after October 1, 2000. (b) Scope. This subpart sets forth the framework for the HHA PPS, including the methodology used for the development of the payment rates, associated adjustments, and related rules.