Home Health Prospective Payment System (HH PPS) Overview
Home health agencies are responsible for the correct submission of claims to Medicare for payment. We encourage HHAs to review the specific statutes, regulations, and other interpretive materials for full and accurate statement of their contents. Additional information about the payment structure Medicare uses to reimburse home health services provided under a plan of care is accessible via the following resources:
- Medicare Benefit Policy Manual (Pub. 100-02, Ch. 7)
- Medicare Claims Processing Manual (Pub. 100-04, Ch. 10)
- Home Health Agency (HHA) Center Web page
- Home Health PPS Web page
- Home Health Prospective Payment System Regulations and Notices Web page
- Home Health Prospective Payment System Fact Sheet
- The Medicare Home Health Benefit
- CGS Educational Materials & Resources Web page
Reviewed: 12.08.21