Comments for Proposed Rule. Some of the most important issues raised by the Proposed Rule aren't simply about what CMS is proposing. They're about the questions the home health industry should be asking CMS to answer. I recently submitted my comments to CMS regarding...
The Rule-Making Process
Home Health Spending and the Proposed and Final HH PPS Rules
Why the Home Health Spending Adjustment May Not Reflect the Impact on Your Agency Each year, when CMS releases the Home Health PPS Proposed and Final Rules, one of the most widely discussed figures is the projected change in Home Health Spending (HHS). Industry...
Three Questions Every Home Health Agency Should Ask When Reviewing the Home Health PPS Proposed or Final Rule
Each year, when CMS releases the Home Health Prospective Payment System (PPS) Proposed and Final Rules, much of the industry's attention focuses on a single number: the projected change in Home Health Spending (HHS). While that figure may provide useful information...
The CRUSH RFI from CMS on Feb 27, 2026
The Centers for Medicare & Medicaid Services has signaled that new program-integrity initiatives may be on the horizon… This initiative is aimed at improving fraud detection and preventing improper payments in Medicare, Medicaid, CHIP, and Marketplace programs.
The 2025 HH PPS Proposed Rule
The CY 2025 Home Health Proposed Rule is out and available for review and commenting on.
The Rule-Making Process
How we can use the Rule-Making Process to impact the Final Rule from CMS.
The Home Health PPS Proposed Rule for CY2021
The Home Health PPS Proposed Rule for CY 2021 has been published in the Federal Register for review by all stakeholders and interested parties.
PDGM and the LUPA Thresholds
This is a brief overview of the changes to the LUPA Threshold under PDGM.






