Home Health Quality Reporting Program - Spotlight and Announcements

Guidance for recent news and updates pertinent to the Home Health Quality Reporting Program. On this page one will find announcements about posting of resource guides and fact sheets, the availability of Questions and Answer documents, information about Home Health Compare, among other notifications.

Now available! Our new Provider Data Catalog makes it easier for you to search & download our publicly reported data. We’ve also improved Medicare’s Compare sites.

About this Page

The page provides recent news and updates pertinent to the Home Health Quality Reporting Program. On this page, you will find announcements about posting resource guides and fact sheets, the availability of Q&A documents, and information about Home Health Compare, among other notifications. Questions about home health quality measures, including the Quality of Patient Care star ratings, can be sent to HomeHealthQualityQuestions@cms.hhs.gov. For any other questions, please see the Home Health Quality Reporting Program Help Desks webpage to identify the correct contact email and/or phone number.

Find program guidance and information about our response to COVID-19 here: COVID-19 Updates.

Updates

July 8, 2026

Preview Reports and Star Rating Preview Reports for the October 2026 Refresh of HH QRP Data - NOW AVAILABLE IN iQIES 

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the October 2026 refresh.

For additional information, please see the HH Quality Reporting Training and the Home Health Public Reporting webpage. For questions, please contact the appropriate team:

• Provider Preview Report access: iQIES Service Center at iqies@cms.hhs.gov or 1-800-339-9313

• HHA QRP Public Reporting: homehealthqualityquestions@cms.hhs.gov

July 6, 2026

Posting of the Calendar Year 2027 Home Health Prospective Payment System Notice of Proposed Rulemaking – Comment Period Ends on August 31st, 2026

The Calendar Year (CY) 2027 Home Health PPS Notice of Proposed Rulemaking (NPRM) was displayed on July 1st, 2026. In this NPRM, CMS proposes initiatives to improve alignments between the expanded HHVBP Model and the Home Health Quality Reporting Program (HH QRP). The following are the Home Health Quality Reporting Program proposals that have been outlined: CMS is proposing to revise the HH QRP OASIS and HHCAHPS Annual Payment Update (APU) reporting timeframe to report a calendar year of data (January 1 through December 31). CMS is also proposing some revisions to regulatory text in support of rule proposals or to improve digital transfer of information during the reconsiderations process. Finally, CMS is soliciting public comments on one Request for Information (RFI) on future measure concepts for the HH QRP. The proposed rule is available on the Federal Register. The 60-day public comment period closes on August 31st, 2026. Please visit the Regulations.gov to submit public comments. 

July 6, 2026

All-Payer Related Changes to the Home Health Quality Reporting Program Annual Payment Update (APU)

Section 1895(b)(3)(B)(v) of the Social Security Act (“the Act”) authorizes the Home Health Quality Reporting Program (HH QRP), which requires HHAs to submit data in accordance with the requirements specified by CMS. Failure to submit data required under section 1895(b)(3)(B)(v) of the Act with respect to a program year will result in the reduction of the annual payment update (home health market basket percentage minus productivity index as described in section 1886(b)(3)(B)(xi)(II) of the Act) increase otherwise applicable to an HHA for the corresponding calendar year by 2 percentage points. 

With the CY 2023 and CY 2025 HH PPS Final Rules, CMS finalized (a) the end of the temporary suspension of OASIS data collection on non-Medicare/non-Medicaid HHA patients and (b) the requirement that HHAs submit OASIS on all patients with any pay source who are not exempt from OASIS data collection. Patients exempt from OASIS data collection include (1) patients under the age of 18, (2) patients receiving maternity services only, (3) patients receiving personal care, homemaker, or chore services only, (4) patients receiving outpatient therapy services provided by a HHA and billed under Medicare Part B benefit that do not have a home health plan of care in effect, (5) patients receiving a service from a company (other than the Medicare-certified HHA) using HHA staff under a loaned employee agreement, and (6) patients receiving only a single visit in a quality episode. For any patient not meeting an OASIS exemption who begins receiving skilled home health care services with an OASIS start of care (SOC) M0090 date on or after July 1, 2025, OASIS data collection and submission to the Internet Quality Improvement and Evaluation System (iQIES) are required. This includes the SOC OASIS and any subsequent OASIS time point assessments relevant to the patient's home health stay (that is, resumption of care, recertification, other follow up, transfer, discharge, and death at home). 

Currently, only OASIS data from Medicare and Medicaid payers are included in HH QRP Annual Payment Update (APU) calculation. To calculate APU, CMS intends to include patient data from all non-Medicare/non-Medicaid patients who begin receiving skilled home health care services with an OASIS SOC M0090 date on or after January 1, 2027. If the M0090 for the SOC is before January 1, 2027 for a non-Medicare/non-Medicaid patient, no OASIS data from any of their time points throughout their entire home health admission will be used for APU purposes, including any assessments that may be completed on or after January 1, 2027. The transition to using all-payer OASIS data for APU calculation does not impact how assessment data of skilled Medicare/Medicaid patients is utilized. 

HHAs will be required to achieve a quality reporting compliance rate of 90 percent or more for all submitted OASIS data regardless of payer source, as calculated using the QAO metric as outline below:

For more information on the HH QRP quality reporting requirements, please see the HH QRP Quality Reporting Requirements webpage. 

July 2, 2026

NEW RESOURCE AVAILABLE: Home Health QRP Essentials Course

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training that provides an overview of the Home Health (HH) Quality Reporting Program (QRP), including its purpose, reporting requirements, and quality data sources.

This training can be accessed through the Home Health Quality Reporting Training webpage.

June 24, 2026

CMS has updated and created new resources that are available in the “Downloads” section on the HH QRP Quality Measures webpage:

• OASIS-based Discharge Function measure:

  • HH_Discharge_Function_Technical_Report_2026 Update.pdf (PDF)

  • DC-Function-Imputation-and-Risk-Adjustment-Appendix-HH (2022).xlsx (XLSX): This document includes imputation coefficients for episodes ending between 1/1/23 – 12/31/2025. This also includes risk adjustment episodes ending between 1/1/23 -12/31/24.

  • DC-Function-Imputation-and-Risk-Adjustment-Appendix-HH (2023).xlsx (XLSX):

    This document includes imputation coefficients for episodes ending between 1/1/23 – 12/31/2025. This also includes risk adjustment episodes ending between 1/1/25 -12/31/25.

  • DC-Function-Imputation-and-Risk-Adjustment-Appendix-HH (2024).xlsx (XLSX):

    This document includes imputation coefficients for episodes ending between 1/1/26 and later. This also includes risk adjustment episodes ending between 1/1/26 and later.

• Quality Measure Tables:

  • Home Health Outcome Measures Table_2026.pdf (PDF)

  • Home Health Process Measures Table_2026.pdf (PDF)

  • Home Health PAE Measures Table_2026.pdf (PDF)

• Claims-based MSBP-PAC measure:

MSPB_PAC_HHA_Service_Exclusions_Update.xlsx (XLSX)

May 4, 2026

CMS recently determined that due to an unintended processing issue, risk adjustment coefficient values for home health (HH) episodes with start of care (SOC) or resumption of care (ROC) completion dates (M0090) on or after January 1, 2025 that were released to the public in 2025 had not been implemented in iQIES HH measure calculation (see HHQRP QM Risk Adjustment Technical Specifications 2026 (PDF), “Downloads” section at Home Health Quality Measures | CMS). Instead, OASIS-based measures for these HH episodes were calculated using the risk adjustment models developed for home health episodes with SOC/ROC completion dates between January 1, 2024 and December 31, 2024 only. The impacted HH episodes with SOC/ROC completion dates between January 1, 2025 and December 31, 2025, were used to calculate a portion of performance measures reported in the following performance reports:

• October 2025 Provider Preview Reports for January 2026 Public Reporting (Q1 2025)
• January 2026 Provider Preview Reports for April 2026 Public Reporting (Q1- Q2 2025)
• April 2026 Provider Preview Reports for July 2026 Public Reporting (Q1- Q3 of 2025)

A correction for this processing issue was deployed in iQIES in early April 2026 and will be reflected starting with the April 2026 IPRs. Note that this necessary correction is limited to HH episodes with SOC/ROC completion dates in CY 2025. Both the HHQRP 2025 QM Manual and risk adjustment technical specifications presented the correct risk adjustment values that were intended for use with HH episodes SOC/ROC completion dates in calendar year 2025.

In sum, the HHQRP 2025 QM Manual and risk adjustment technical specifications presented the correct risk adjustment values that were intended for use with HH episodes SOC/ROC completion dates in calendar year 2025, whereas implementation in iQIES needed to be corrected to align with the documentation.

To assess the implications of this processing issue on publicly reported performance, CMS completed an impact analysis by comparing OASIS-based measure values that were incorrectly risk-adjusted with 2024 risk adjustment coefficients as reported in Risk Adjustment Technical_Specifications_2025 (PDF) with OASIS-based measure values that were correctly risk-adjusted using 2025 risk adjustment coefficients  as reported in the HHQRP QM Risk Adjustment Technical Specifications 2026 (PDF). This analysis used a CY 2025 reporting period based on HH episodes ending in CY 2025. Overall, analysis results showed small changes in agency-level OASIS-based measure scores. There were also very small changes to agency-level, relative measure performance rankings for agencies with at least 20 eligible HH episodes to generate a measure value.

April 23, 2026

Public Reporting April 2026 Refresh of HH QRP Data – Now Available

The April 2026 quarterly refresh for the Home Health Quality Reporting Program is now available on the compare tool on Medicare.gov and the Provider Data Catalog (PDC). 

The April 2026 refresh includes the removal of one OASIS-based measure, COVID-19 Vaccine: Percent of Patients Who Are Up to Date.                                                                   

For more information, please visit the HH QRP Public Reporting Website. 

April 21, 2026

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

October 2026 CMS OASIS Quarterly Q&A’s are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals .

April 20, 2026 

NEW RESOURCE AVAILABLE: Cross-Setting: Falls with Major Injury (FMI) Quality Measure (QM) Respecification

The Centers for Medicare & Medicaid Services (CMS) is offering a Web-Based Training that provides the latest information about the respecification of the Falls with Major Injury (FMI) Quality Measure (QM) for the Post-Acute Care (PAC) Settings. The training provides an overview of the legacy and respecified FMI Measure, discusses how the respecified measure includes both assessment and claims/encounter data in the respecified measure specifications. It also reviews key changes in PAC data collection guidance related to falls and injuries.

This resource can be accessed through the Home Health Quality Reporting Training webpage

April 1, 2026

The final OASIS-E2 Instruments (All Items and Time Points versions), effective April 1, 2026, are available in the Downloads section of the OASIS Data Sets | CMS page, https://www.cms.gov/medicare/quality/home-health-oasis-data-sets. The instrument documents have been updated to include OMB approval information, the OMB control number (0938-1279), and an expiration date of 12/31/2028.

April 1, 2026

Preview Reports and Star Rating Preview Reports for the July 2026 Refresh of HH QRP Data - NOW AVAILABLE IN iQIES 

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the July 2026 refresh.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Public reporting webpage. 

March 4, 2026

NOW AVAILABLE: HHQRP QM Users Manual 3.1 and the 2026 Risk Adjustment Technical Specification Report

The Centers for Medicare & Medicaid Services (CMS) has HHQRP QM User’s Manual 3.1, HHQRP QM Manual 3.1 Change Table, and the 2026 Risk Adjustment Technical Specification Report.  These documents provide updates to QM calculations and outline new steps for determining home health quality episodes. Please find both documents in the Downloads section on the Home Health QRP Quality Measures webpage.

February 26, 2026

The final OASIS-E2 Instruments (All Items and Time Points versions) and OASIS-E2 Change Table, effective April 1, 2026, are available in the Downloads section of the OASIS Data Sets | CMS page, https://www.cms.gov/medicare/quality/home-health-oasis-data-sets.

February 26, 2026

As part of our ongoing efforts to modernize and streamline data submission and assessment management, The Centers for Medicare & Medicaid Services (CMS) is officially discontinuing the legacy Internet Quality Improvement and Evaluation System (iQIES) front-end user interface (data entry software for manually creating assessments) effective April 1, 2026. Home Health (HH) Associations will no longer be able to use this software to directly input assessment data for CMS.  Future data will need to be uploaded in the correct format. For additional information and questions visit the Home Health Data Specifications page. 

February 18, 2026

January 20, 2026

CMS will not publish a Home Health Quarterly OASIS Q&A for January 2026 because no new helpdesk questions this quarter required broad dissemination. If you encounter uncertainties in coding or guidance interpretation that cannot be answered with existing published guidance, submit them to the Home Health Quality Help Desk (homehealthqualityquestions@cms.hhs.gov)—provider questions directly inform future clarifications and updates.

January 14, 2026

Public Reporting January 2026 Refresh of HH QRP Data – Now Available

The January 2026 quarterly refresh for the Home Health Quality Reporting Program is now available on the Compare Tool on Medicare.gov and the Provider Data Catalog (PDC). 

The January 2026 refresh includes one new OASIS-based measure, COVID-19 Vaccine: Percent of Patients Who Are Up to Date.                                                             

For more information, please visit the HH QRP Public Reporting Website. 

January 8, 2026

Preview Reports and Star Rating Preview Reports for the April 2026 Refresh of HH QRP Data - NOW AVAILABLE IN iQIES 

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the Compare Tool on Medicare.gov and the Provider Data Catalog (PDC) during the April 2026 refresh.

The Preview Reports for the April 2026 release will no longer include one OASIS-based measure, COVID-19 Vaccine: Percent of Patients Who Are Up to Date.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Public reporting webpage. 

January 7, 2026

NOW AVAILABLE: Falls with Major Injury (FMI) HH Technical Specification Report

The Centers for Medicare & Medicaid Services (CMS) has released the official Technical Specification Report for the Falls with Major Injury (FMI) measure. This report incorporates feedback received during the cross-setting Technical Expert Panel (TEP) held on May 12 and 14, 2025. The report provides an overview of the measure, a high-level summary of the key features of the re-specified measure, a description of the methodology used to construct the FMI measure, and an overview of measure testing results. Additional guidance and related updates to the Quality Measure Calculations and Reporting User’s Manual, OASIS manuals, and public reporting timelines will be provided at a future date. 

The report is available in the Downloads section on the Home Health QRP Quality Measures webpage. 

December 20, 2026

NEW RESOURCES AVAILABLE: Coding O0350 Patient/ Resident COVID-19 Vaccination: What Home Health Agencies (HHAs) Need to Know

The Centers for Medicare & Medicaid Services (CMS) is offering a one-page resource that provides guidance on coding O0350 Patient/ Resident COVID-19 Vaccination for Home Health Agencies (HHAs) following the removal of this measure in the CY 2026 Home Health Prospective Payment System (HH PPS) Final Rule. 

This resource can be accessed through the  Home Health Quality Reporting Training Webpage.

December 18, 2025

The Outcome and Assessment Information Set Version E2 (OASIS-E2) Data Submission Specifications Version 3.02.0 are now available in the Downloads section of the OASIS Data Sets page at 

https://www.cms.gov/medicare/quality/home-health/data-specifications

This FINAL version applies to the OASIS-E2 item set, which is scheduled for implementation on April 1, 2026.  Note that item A0810 replaces M0069_PAT_GENDER, item A1255 replaces the A1250 items, several items were added to RFA 03, and the dash (-) is now an allowed value for the item D0150 frequency items. These item changes resulted in several edit changes. 

Review the OASIS-E2 Guidance manual for additional information and the Item Change and Edit Change reports within the data specifications. The draft Guidance Manual for the OASIS-E2 version of the OASIS data set, effective April 1, 2026, is available in the Downloads section of the OASIS User Manuals | CMS page, https://www.cms.gov/medicare/quality/home-health/oasis-user-manuals.

December 1, 2025

Posting of the Calendar Year 2026 Home Health Prospective Payment System Final Rule

The Calendar Year 2026 Home Health Prospective Payment System Final Rule was published on November 21, 2025. The following are the Home Health Quality Reporting Program proposals that are being finalized: CMS is finalizing the proposal to remove the COVID-19 Vaccine: Percent of Patients Who Are Up to Date Measure and the corresponding OASIS data element. CMS is also finalizing the proposal to remove four assessment items: one Living Situation item, two Food items, and one Utilities item. CMS is also finalizing the proposal to revise the policy to allow for providers to submit a request for reconsideration of an initial determination of noncompliance if they can demonstrate full compliance. In very limited circumstances, HHAs can request an extension to file a reconsideration request if the HHA was affected by an extraordinary circumstance beyond the control of the HHA (that is, a natural or man-made disaster such as a cyber-attack, hurricane, tornado, or earthquake) during the 30-day reconsideration period. CMS is also finalizing the proposal to implement a revised Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) Survey beginning with the April 2026 sample month. This rule would also update regulatory text to account for all-payer data submission of OASIS data. 

CMS sought information and provided a summary related to following: a change to the final data submission deadline period from 4.5 months to 45 days, on the digital quality measurement (dQM) transition  request for information (RFI) for HHAs, and on the current adoption of health information technology (IT) and standards including Fast Healthcare Interoperability Resources (FHIR), including related challenges or barriers HHAs are facing. Finally, CMS sought input and summarized that input received on future HH QRP quality measure (QM) concepts of interoperability, cognitive function, nutrition, and patient well-being.

November 26, 2025

Home Health Quality Reporting Program: Non-Compliance Notifications

The Centers for Medicare & Medicaid Services (CMS) is providing notifications to home health agencies that were determined to be out of compliance with the Home Health Quality Reporting Program (HHQRP) requirements for calendar year (CY) 2026 Annual Payment Update (APU). Non-compliance notifications will be placed into Home Health Agencies (HHA) My Reports folders in iQIES on November 26, 2025. Additionally, the Medicare Administrative Contractors (MACs) will distribute a letter by email or regular mail to non-compliant HHA’s in their service area. HHAs that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm, January 6, 2026. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification and on the Home Health Quality Reporting Reconsideration and Exception & Extension webpage.

Please note: Any reconsideration request emails greater than 20 MB in size or containing protected health information (PHI) will not be processed. All PHI must be removed in order for a reconsideration to be reviewed.

November 25, 2025

NOW AVAILABLE: Falls with Major Injury (FMI) HH Technical Specification Report

The Centers for Medicare & Medicaid Services (CMS) has released the official Technical Specification Report for the Falls with Major Injury (FMI) measure. This report incorporates feedback received during the cross-setting Technical Expert Panel (TEP) held on May 12 and 14, 2025. The report provides an overview of the measure, a high-level summary of the key features of the re-specified measure, a description of the methodology used to construct the FMI measure, and an overview of measure testing results. Additional guidance and related updates to the Quality Measure Calculations and Reporting User’s Manual, OASIS manuals, and public reporting timelines will be provided at a future date. 

The report is available in the Downloads section on the Home Health QRP Quality Measures webpage.

November 20, 2025

Because of the lapse in federal appropriations, scheduled data refreshes and other routine updates were temporarily paused. With the resumption of government operations on November 13, these updates are being released.  

Public Reporting October 2025 Refresh of HH QRP Data – Now Available

The October 2025 quarterly refresh for the Home Health Quality Reporting Program is now available on the compare tool on Medicare.gov and the Provider Data Catalog (PDC). 

Due to technical issues that affected two quality measures, CMS has decided to suppress the measure results for the Transfer of Health Information to the Provider and Discharge Function Score measures for the October 2025 release. Reporting on the two measures will resume with the next refresh in January 2026.                                     

For more information, please visit the HH QRP Public Reporting Website. 

November 18, 2025

Because of the lapse in federal appropriations, scheduled data refreshes and other routine updates were temporarily paused. With the resumption of government operations on November 13, these updates are now being released.

Preview Reports and Star Rating Preview Reports for the January 2026 Refresh of HH QRP Data - NOW AVAILABLE IN iQIES 

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the January 2026 refresh.

The Preview Reports for the January 2026 release include one new OASIS-based measure, COVID-19 Vaccine: Percent of Patients/Residents Who Are Up to Date.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Public reporting webpage.

August 14, 2025

NOW AVAILABLE: May 2025 Falls with Major Injury Technical Expert Panel (TEP) Summary Report

The Centers for Medicare & Medicaid Services (CMS) convened a Technical Expert Panel (TEP) on May 12 and 14, 2025, to obtain input on potential cross-setting updates to the Falls with Major Injury (FMI) measure. The TEP was held in response to concerns regarding potential underreporting on the current measure and recommendations from the U.S. Department of Health and Human Services Office of Inspector General (OIG) in its 2023 report. The OIG report recommended that CMS pursue measure respecification, including consideration of alternative data sources, such as claims-based data, and transitioning the measure to a hybrid model. CMS has released the official TEP Summary Report, which provides an overview of the panel’s discussion and feedback on proposed updates to the measure.

CMS intends to move forward with updates to the FMI measure based on input received during the TEP. Additional guidance related to updates to the Quality Measures User’s Manual, clinical guidance manuals, technical specifications, and public reporting timelines will be provided at a future date. In the interim, stakeholders are encouraged to review the TEP Summary Report for additional detail on the proposed updates and the rationale discussed by the TEP.

The TEP Summary Report can be found in the Downloads section on the Home Health QRP Quality Measures webpage. 

August 14, 2025

The OASIS-E2 Paperwork Reduction Act (PRA) package is available for public review on the CMS PRA Listing webpage as CMS Form Number CMS-10545 | CMS 

The OASIS-E2 PRA package was posted with the Home Health Calendar Year 2026 National Proposed Rule (NPRM), which is located here: Federal Register :: Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies 

Interested parties may comment on changes proposed for OASIS-E2 via the NPRM public comment process. The public comment period ends 08/29/2025. 

August 12, 2025

Now Available! The draft OASIS-E2 Instruments and OASIS-E2 Change Table are now available in the Downloads section of the CMS OASIS Data Sets webpage at 

https://www.cms.gov/medicare/quality/home-health/oasis-data-sets

July 16, 2025

Public Reporting July 2025 Refresh of HH QRP Data – Now Available

The July 2025 quarterly refresh for the Home Health Quality Reporting Program is now available on the compare tool on Medicare.gov and the Provider Data Catalog (PDC).                                                            

For more information, please visit the HH QRP Public Reporting Website. 

July 14, 2025

NOW AVAILABLE- Updated Quarterly OASIS Q&As 

July 2025 CMS OASIS Quarterly Q&A’s are available in the OASIS Quarterly Q&As section of the CMS 

QTSO webpage, 

https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals.

July 9, 2025

Preview Reports and Star Rating Preview Reports for the October 2025 Refresh of HH QRP Data - NOW AVAILABLE IN iQIES 

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the October 2025 refresh.

For additional information, please see the HH Quality Reporting Training webpage and the Home Health Public reporting webpage. 

June 30, 2025

Posting of the Calendar Year 2026 Home Health Prospective Payment System Final Rule

The calendar year 2026 Home Health Prospective Payment System Notice of Proposed Rulemaking was published on June 30, 2025. The following are the Home Health Quality Reporting Program proposals that have been outlined: CMS is proposing to remove the COVID-19 Vaccine: Percent of Patients Who Are Up to Date Measure and the corresponding OASIS data element. CMS is proposing the removal of four assessment items: one Living Situation item, two Food items, and one Utilities item. CMS is proposing to revise the policy to allow providers to submit a request for reconsideration of an initial determination of noncompliance if they can demonstrate full compliance. In very limited circumstances, HHAs can request an extension to file a reconsideration request if the HHA was affected by an extraordinary circumstance beyond the control of the HHA (that is, a natural or man-made disaster such as a cyber-attack, hurricane, tornado, or earthquake) during the 30-day reconsideration period. CMS is also proposing to implement a revised Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) Survey beginning with the April 2026 sample month. This rule would also update regulatory text to account for all-payer data submission of OASIS data. 

CMS is seeking information on a change to the final data submission deadline period from 4.5 months to 45 days. CMS is also seeking feedback on the digital quality measurement (dQM) transition for HHAs. CMS aims to solicit feedback from the public on the current adoption of health information technology (IT) and standards including Fast Healthcare Interoperability Resources (FHIR), including related challenges or barriers HHAs are facing. Finally, CMS is seeking input on future HH QRP quality measure (QM) concepts of interoperability, cognitive function, nutrition, and patient well-being.

Home Health Quality Reporting Archives