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HHS/CMS RIN: 0938-AV53 Publication ID: 2026 
Title: CY 2026 Home Health Prospective Payment System Rate and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates (CMS-1828)(Completion of a Section 610 Review) 
Abstract:

This annual final rule updates 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 rule also includes 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 finalizing 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. 

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Fully or Partially Exempt 
RFA Section 610 Review: Completion of a Section 610 Review 
CFR Citation: 42 CFR 484   
Legal Authority: 42 U.S.C. 1395(x)    42 U.S.C. 1395(fff)    42 U.S.C. 1395(m)   
Legal Deadline:
Action Source Description Date
Final  Statutory  By statute, rule must be effective by January 1 annually.  01/01/2026 
Timetable:
Action Date FR Cite
NPRM  07/02/2025  90 FR 29108   
NPRM Comment Period End  08/29/2025 
Final Action  12/02/2025  90 FR 55342   
Final Action Effective  01/01/2026 
Regulatory Flexibility Analysis Required: YES  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Brian Slater
Director, Division of Home Health and Hospice
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5229
Email: brian.slater@cms.hhs.gov