Home Health Prospective Payment System Refinements and Rate Update for CY 2012

Docket ID: CMS-2011-0117
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
This rule updates the 60-day national episode rate (based on the applicable Home Health Market Basket Update and case-mix adjustment) and would also update the national per-visit rates (used to calculate low utilization payment adjustments (LUPAs) and outlier payments) amounts under the Medicare Prospective Payment System for home health agencies. These changes are applicable to services furnished on or after January 1st.
RIN: 0938-AQ30
Impacts and Effects: None
CFR Citation: 42 CFR 484,42 CFR 409,42 CFR 424
Priority: Economically Significant
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Fall 2011
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: Social Security Act, secs 1102 and 1871, 42 USC 1302 and 1395(hh), Social Security Act, sec 1895, 42 USC 1395(fff), PL 111-148 secs 3131, 3401, 6407
Government Levels Affected: Federal
Federalism Implications: No
Unfunded Mandates: No
Requires Regulatory Flexibility Analysis: Business
Small Entities Affected: No
International Impacts: No
Energy Effects: No
Included in Regulatory Plan: No
Legal Deadline
ActionDateFR Citation
NPRM07/12/201176 FR 40988
NPRM Comment Period End09/06/2011
Final Action11/04/201176 FR 68526
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

View All  (3)
Comment Period Closed
Sep 06, 2011 11:59 PM ET
Proposed Rule
Posted: 07/12/2011
ID: CMS-2011-0117-0006
Comment Period Closed
Jul 12, 2011 11:59 PM ET
Proposed Rule
Posted: 07/05/2011
ID: CMS-2011-0117-0001
Comment Period Closed
Posted: 11/04/2011
ID: CMS-2011-0117-0115

Supporting Documents

No documents available.


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Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Kelly Horney
Health Insurance Specialist,
410 786-0558
410 786-0765 (Fax)
Center for Medicare Management Mail Stop C5-07-28 7500 Security Boulevard
Baltimore, MD 21244
*This count refers to the total comment/submissions received on this docket, as of 11:59 PM yesterday. Note: Agencies review all submissions, however some agencies may choose to redact, or withhold, certain submissions (or portions thereof) such as those containing private or proprietary information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. This can result in discrepancies between this count and those displayed when conducting searches on the Public Submission document type. For specific information about an agency’s public submission policy, refer to its website or the Federal Register document.