0938-AV53 202504 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS CY 2026 Home Health Prospective Payment System Rate and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates (CMS-1828)

This annual proposed rule would update the national, standardized 30-day period payment rate, national per-visit rates used to calculate low utilization payment adjustments (LUPAs) and outlier payments under the Medicare prospective payment system (PPS) for home health agencies based on the applicable home health payment update percentage.  This proposed rule would also include changes to the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) to help CMS continue to implement an effective, efficient, and sustainable program by generating savings and reducing fraud, waste, and abuse in the Medicare program. Additionally, CMS is proposing several changes to the DMEPOS CBP to streamline a few operational processes to decrease the burden on bidders, as well as incorporating previous sub-regulatory guidance into regulation. 

]]> Economically Significant Previously Published in The Unified Agenda Proposed Rule Stage Yes No Fully or Partially Exempt 42 CFR 484 42 U.S.C. 1395(x) 42 U.S.C. 1395(fff) 42 U.S.C. 1395(m) Statutory Final 01/01/2026 By statute, rule must be effective by January 1 annually. No NPRM 07/00/2025 Undetermined Undetermined No No No Brian Slater Director, Division of Home Health and Hospice 0938 Centers for Medicare & Medicaid Services CMS 410 786-5229 brian.slater@cms.hhs.gov Center for Medicare, MS: C4-07-07, 7500 Security Boulevard, Baltimore MD 21244