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Expanded HHVBP Model: Preview CY 2024 Annual Performance Reports (APRs) are Available on iQIES

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Expanded HHVBP Model Performance Feedback Reports

*CY 2024 Annual Performance Reports (APRs) are Available on iQIES*

The Preview CY 2024 Annual Performance Reports (CY 2024 APRs) for the expanded HHVBP Model have been published on the Internet Quality Improvement and Evaluation System (iQIES).

The CY 2024 APRs provide the HHA’s Annual Payment Percentage (APP) based on performance in CY 2023, the performance year, which will be applied to Medicare Fee-for-Service (FFS) claims with through dates in the payment year, CY 2025. In addition, the CY 2024 APRs provide information related to HHA performance on key metrics that feed into the HHA’s APP, including performance measure scores, Improvement Points, Achievement Points, Care Points, and the Total Performance Score (TPS).

An HHA receives a CY 2024 APR if the HHA:


* Was Medicare-certified prior to January 1, 2022, and
* Had sufficient data for at least five quality measures to calculate a TPS and APP.

 

*Exhibit 1: CY 2024 APR quality measure performance scores time periods for each measure category*

 

*Measure Category*



*    Time Period       *



*  Minimum Threshold*



OASIS-based episodes



  January 1 - December 31, 2023     



  20 home health quality



Claims-based



  January 1 - December 31, 2023



  20 home health stays



HHCAHPS Survey-based 



  January 1 - December 31, 2023



  40 completed surveys



 

*Note:* APRs are only available to HHAs through iQIES.

 

Below is a list of the calendar years that are relevant to the “CY 2024 APR”, namely the baseline year, performance year, publication year, and payment year.


* The baseline year is CY 2022 and is used to calculate quality measure-specific achievement thresholds, benchmarks, and improvement thresholds.
* CY 2023 is the performance year, and HHA performance in this calendar year is measured against 12 quality measures relative to performance of HHAs in each cohort.
* The publication year of the “CY 2024 APR” is CY 2024.
* CY 2025, which is the payment year. That means that the HHA’s APP ranging from minus 5% to plus 5% is applied to Medicare Fee-for-Service (FFS) claims with through dates in CY 2025.

APRs are available via iQIES in the “HHA Provider Preview Reports” folder, by the CMS Certification number (CCN) assigned to the HHA. If your organization has more than one (1) CCN, then a report will be available for each CCN. Only iQIES users authorized to view an HHA’s reports can access expanded HHVBP Model reports. For assistance with downloading your HHA’s APR, please contact the iQIES Service Center at 1-800-339-9313, Monday through Friday, 8:00 AM-8:00 PM ET, or by email (_iqies@cms.hhs.gov_). To create a ticket online or track an existing ticket, please go to CCSQ Support Central. 

 

*Locating the APR in iQIES*


* Log into iQIES at _https://iqies.cms.gov/ [ https://vmm0dj30.r.us-west-2.awstrack.me/L0/https:%2F%2Fiqies.cms.gov%2F/1/010101917f7a7e70-cf46b20e-3a19-4715-9e58-e524068a8208-000000/zjNwN8WK6MymBhN8Rqu3jE63OA8=389 ]_.
* Select the My Reports option from the Reports menu.
* From the My Reports page, select the HHA Provider Preview Reports.
* Select the HHVBP file to view the desired report. To quickly locate the most recently published report, select the down arrow adjacent to the Created Date label at the top of the table. This will order the reports in the folder from newest to oldest.
* Select the file name link and the contents of the file will display.

Instructions on how to access the APRs are also available on the Expanded HHVBP Model webpage, under “Model Reports.”

 

*The Appeals Process*

There are three (3) versions of the APRs: a Preview APR, a Preliminary APR, and a Final APR.


* Once the “Preview APRs” are published, HHAs have 15 calendar days to submit a recalculation request if they find evidence of an error in their report.

* *The deadline for submitting a recalculation request for the CY 2024 APRs is September 7, 2024. *Please note, recalculation requests do not apply to errors in data submission since submission requirements for the expanded Model align with current Code of Federal Regulations (CFRs).

* Once the “Preliminary APRs” are published on September 27, 2024, HHAs have 15 calendar days to submit a reconsideration request _if they submitted a recalculation request and are not in agreement with the recalculation request decision_.

* *The deadline for submitting a reconsideration request for the CY 2024 APRs is October 12, 2024.*
* HHAs also have 7 calendar days to submit a request for administrator review _if they submitted a reconsideration request and are not in agreement with the reconsideration request decision_.
* *The deadline for submitting a request for Administrator review for the CY 2024 APRs is November 1, 2024.*

* CMS makes the “Final APRs” available after all recalculation requests, reconsideration requests, and requests for Administrator review are processed, and no later than 30 calendar days before the payment adjustment takes effect on January 1, 2025.

HHAs may submit requests for recalculation by emailing _hhvbp_recalculation_requests@abtassoc.com_. Recalculation requests must contain the following information, as cited in the CY 2022 HH PPS final rule (p. 62331) and CFR §484.375: 


* The provider’s name, address associated with the services delivered, and CCN.
* The basis for requesting recalculation, to include the specific data that the HHA believes is inaccurate or the calculation the HHA believes is incorrect.
* Contact information for a person at the HHA with whom CMS or its agent can communicate about this request, including name, email address, telephone number, and mailing address (must include physical address, not just a post office box).
* A copy of any supporting documentation, not containing PHI, the HHA wishes to submit in electronic form.

These instructions are also available on the _Expanded HHVBP Model webpage [ https://vmm0dj30.r.us-west-2.awstrack.me/L0/https:%2F%2Fwww.cms.gov%2Fpriorities%2Finnovation%2Finnovation-models%2Fexpanded-home-health-value-based-purchasing-model/1/010101917f7a7e70-cf46b20e-3a19-4715-9e58-e524068a8208-000000/r1G8F1r-cQSGC2_apT21x8KPNJo=389 ]_, under “Model Reports.”

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Contact Us

Please *do not reply to this email *- this is an unmonitored inbox. If you require assistance, use the following options:


* For program questions about the expanded HHVBP Model, contact the HHVBP Model Help Desk at HHVBPquestions@cms.hhs.gov.
* For support with registration for the Internet Quality Improvement and Evaluation System (iQIES [ https://iqies.cms.gov/ ]_)_, please contact our *QIES/iQIES Service Center* by phone at *(800) 339-9313* or by email at iqies@cms.hhs.gov. You may also refer to the iQIES Onboarding Guide posted to QTSO for registration support: https://qtso.cms.gov/software/iqies/reference-manuals
* To receive email updates about the expanded Model, please subscribe to the Expanded HHVBP Model listserv [ https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_12825%22%3EClick%20to%20subscribe%3C/a%3E ]. Enter your email address in the contact form, then select “Home Health Value-Based Purchasing (HHVBP) Expanded Model” from the Innovations list.
* Please contact the *Home Health Quality Reporting Program (HH QRP) Help Desk* at homehealthqualityquestions@cms.hhs.gov for questions about the following: Home Health Quality, including Care Compare (excluding HHCAHPS), OASIS coding and OASIS documentation, quality reporting requirements & deadlines, data reported in quality reports, measure calculations, Quality of Patient Care Star Rating (excluding suppression requests), public reporting, risk adjustment, and Quality Assessment Only (QAO)/Pay for Reporting (P4P).
* Please contact the *Home Health CAHPS Help Desk* at hhcahps@rti.org for questions related to the HHCAHPS Survey or Patient Survey Star Ratings.
New Bubble [ https://www.cms.gov/files/document/guide-home-health-help-desks-updated-january-2024.pdf ]
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*"Important Links:"*

Expanded HHVBP Model webpage [ https://innovation.cms.gov/innovation-models/expanded-home-health-value-based-purchasing-model ] | Expanded HHVBP Model YouTube playlist [ https://www.youtube.com/playlist?list=PLaV7m2-zFKpiqtkONJtiCWEogBzzMpqi0 ] 







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