Home Health Agency (HHA) code update

March 9, 2020

In 2016, a new purchasing demonstration for Home Health Agencies (HHA) was introduced in five East Region states: Florida, Maryland, Massachusetts, North Carolina and Tennessee. The Home Health Value-Based Purchasing Model (HHVBP) offers incentives to any HHAs who give higher quality and more efficient care. The Defense Health Agency (DHA) is currently working on a new HHVBP Demonstration and a Patient-Driven Groupings Model (PDGM).

While the new codes are available for use, the new reimbursement information has not been released. To prevent providers from having to resubmit, we are holding claims until DHA updates the information.

If providers use the old code, the system will generate an error and claims will not process. If the new code is used, we will hold these claims until DHA releases the new pricing.

For more information, visit HHVBP Adjustments and review the CMS’ FAQs