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(a) General. Competing home health agencies will be ranked within the larger-volume and smaller-volume cohorts in selected states based on the performance standards that apply to the HHVBP Model for the baseline year, and CMS will make value-based payment adjustments to the competing HHAs as specified in this section.
(b) Calculation of the value-based payment adjustment amount. The value-based payment adjustment amount is calculated by multiplying the Home Health Prospective Payment final claim payment amount as calculated in accordance with § 484.205 by the payment adjustment percentage.
(c) Calculation of the payment adjustment percentage. The payment adjustment percentage is calculated as the product of: The applicable percent as defined in § 484.320, the competing HHA's Total Performance Score divided by 100, and the linear exchange function slope.
Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.484.330 Process for determining and applying the value-based payment adjustment under the Home Health Value–Based Purchasing (HHVBP) Model - last updated October 03, 2022 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-484-330/
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