US · guidance
CMS Pub. 100-04, ch. 10, § 10.1.1
Creation of HH PPS and Subsequent Refinements
The HH PPS was initially mandated by law in the Balanced Budget Act of 1997 and
legislative requirements were modified in various subsequent laws. Section 1895 of the
Social Security Act contains current law regarding HH PPS.
The initial implementation of the HH PPS was effective for dates of service on and after
October 1, 2000. Refinements to the case-mix system of the HH PPS system were for
episodes of care beginning on and after January 1, 2008. Effective for periods of care
beginning on and after January 1, 2020, the original HH PPS system was updated to
apply the Patient-Driven Grouping Model. Home health Notices of Admission (NOAs)
are required for periods of care beginning on and after January 1, 2022.
The sections that follow describe billing for services on or after January 1, 2022.
History
(Rev. 10758; Issued: 05-11-21; Effective: 01-01-22; Implementation: 08-11-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ae32ca25d629c9feb2f5d2e9b3d6f1d9744f46b2a850c15a0d0096f45d02052a
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