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Home Health Patient-Driven Groupings Model (PDGM)

The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1689-FC)External Website that updates the Medicare Home Health Prospective Payment System (HH PPS) rates and wage index for calendar year (CY) 2019. Change Request 11081External PDF implements the policies of the Patient-Driven Groupings Model (PDGM), effective with claim “From” dates on or after January 1, 2020. For more information, please refer to the following resources.

CGS Resources:

CMS Resources:

Reviewed: 12.08.21


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