Home Health QRP Essentials Course

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training that provides an overview of the Home Health (HH) Quality Reporting Program (QRP), including its purpose, reporting requirements, and quality data sources. The course reviews Outcome and Assessment Information Set (OASIS) and Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) Survey reporting requirements, explains how quality measures and star ratings are calculated and publicly reported, and highlights key CMS resources, help desks, and subscription options to support ongoing compliance with HH QRP requirements.

This training can be accessed through the Home Health Quality Reporting Training webpage.

Public Reporting July 2026 Refresh of HH QRP Data



The July 2026 quarterly refresh for the Home Health Quality Reporting Program is now available on the compare tool on Medicare.gov and the Provider Data Catalog (PDC). 

Preview Reports and Star Rating Preview Reports for the October 2026 Refresh of HH QRP Data

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the October 2026 refresh.

For additional information, please see the HH Quality Reporting Training and the Home Health Public Reporting webpage. For questions, please contact the appropriate team:

• Provider Preview Report access: iQIES Service Center at iqies@cms.hhs.gov or 1-800-339-9313

• HHA QRP Public Reporting: homehealthqualityquestions@cms.hhs.gov

Posting of the Calendar Year 2027 Home Health Prospective Payment System Notice of Proposed Rulemaking – Comment Period Ends on August 31st, 2026

The Calendar Year (CY) 2027 Home Health PPS Notice of Proposed Rulemaking (NPRM) was displayed on July 1st, 2026. In this NPRM, CMS proposes initiatives to improve alignments between the expanded HHVBP Model and the Home Health Quality Reporting Program (HH QRP). The following are the Home Health Quality Reporting Program proposals that have been outlined: CMS is proposing to revise the HH QRP OASIS and HHCAHPS Annual Payment Update (APU) reporting timeframe to report a calendar year of data (January 1 through December 31). CMS is also proposing some revisions to regulatory text in support of rule proposals or to improve digital transfer of information during the reconsiderations process. Finally, CMS is soliciting public comments on one Request for Information (RFI) on future measure concepts for the HH QRP. The proposed rule is available on the Federal Register. The 60-day public comment period closes on August 31st, 2026. Please visit Regulations.gov to submit public comments. 

All-Payer Related Changes to the Home Health Quality Reporting Program Annual Payment Update (APU)

Section 1895(b)(3)(B)(v) of the Social Security Act (“the Act”) authorizes the Home Health Quality Reporting Program (HH QRP), which requires HHAs to submit data in accordance with the requirements specified by CMS. Failure to submit data required under section 1895(b)(3)(B)(v) of the Act with respect to a program year will result in the reduction of the annual payment update (home health market basket percentage minus productivity index as described in section 1886(b)(3)(B)(xi)(II) of the Act) increase otherwise applicable to an HHA for the corresponding calendar year by 2 percentage points. 

With the CY 2023 and CY 2025 HH PPS Final Rules, CMS finalized (a) the end of the temporary suspension of OASIS data collection on non-Medicare/non-Medicaid HHA patients and (b) the requirement that HHAs submit OASIS on all patients with any pay source who are not exempt from OASIS data collection. Patients exempt from OASIS data collection include (1) patients under the age of 18, (2) patients receiving maternity services only, (3) patients receiving personal care, homemaker, or chore services only, (4) patients receiving outpatient therapy services provided by a HHA and billed under Medicare Part B benefit that do not have a home health plan of care in effect, (5) patients receiving a service from a company (other than the Medicare-certified HHA) using HHA staff under a loaned employee agreement, and (6) patients receiving only a single visit in a quality episode. For any patient not meeting an OASIS exemption who begins receiving skilled home health care services with an OASIS start of care (SOC) M0090 date on or after July 1, 2025, OASIS data collection and submission to the Internet Quality Improvement and Evaluation System (iQIES) are required. This includes the SOC OASIS and any subsequent OASIS time point assessments relevant to the patient's home health stay (that is, resumption of care, recertification, other follow up, transfer, discharge, and death at home). 

Currently, only OASIS data from Medicare and Medicaid payers are included in HH QRP Annual Payment Update (APU) calculation. To calculate APU, CMS intends to include patient data from all non-Medicare/non-Medicaid patients who begin receiving skilled home health care services with an OASIS SOC M0090 date on or after January 1, 2027. If the M0090 for the SOC is before January 1, 2027 for a non-Medicare/non-Medicaid patient, no OASIS data from any of their time points throughout their entire home health admission will be used for APU purposes, including any assessments that may be completed on or after January 1, 2027. The transition to using all-payer OASIS data for APU calculation does not impact how assessment data of skilled Medicare/Medicaid patients is utilized. 



HHAs will be required to achieve a quality reporting compliance rate of 90 percent or more for all submitted OASIS data regardless of payer source, as calculated using the QAO metric as outlined below:

For more information on the HH QRP quality reporting requirements, please see the HH QRP Quality Reporting Requirements webpage.

NEW RESOURCE AVAILABLE

Home Health QRP Essentials Course

The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training that provides an overview of the Home Health (HH) Quality Reporting Program (QRP), including its purpose, reporting requirements, and quality data sources.



This training can be accessed through the Home Health Quality Reporting Training webpage.

CMS has updated and created new resources that are available in the “Downloads” section on the HH QRP Quality Measures webpage:

OASIS-based Discharge Function measure:

• HH_Discharge_Function_Technical_Report_2026 Update.pdf (PDF)
• DC-Function-Imputation-and-Risk-Adjustment-Appendix-HH (2022).xlsx: This document includes imputation coefficients for episodes ending between 1/1/23 – 12/31/2025. This also includes risk adjustment episodes ending between 1/1/23 -12/31/24.
• DC-Function-Imputation-and-Risk-Adjustment-Appendix-HH (2023).xlsx:

This document includes imputation coefficients for episodes ending between 1/1/23 – 12/31/2025. This also includes risk adjustment episodes ending between 1/1/25 -12/31/25.

• DC-Function-Imputation-and-Risk-Adjustment-Appendix-HH (2024).xlsx:

This document includes imputation coefficients for episodes ending between 1/1/26 and later. This also includes risk adjustment episodes ending between 1/1/26 and later.

Quality Measure Tables:

• Home Health Outcome Measures Table_2026.pdf (PDF)
• Home Health Process Measures Table_2026.pdf (PDF)
• Home Health PAE Measures Table_2026.pdf (PDF)

Claims-based MSBP-PAC measure:

MSPB_PAC_HHA_Service_Exclusions_Update.xlsx (XLSX)

Updated Quarterly OASIS Q&As

The July 2026 OASIS Q&A's are available in the OASIS Quarterly Q&As section of the CMS QTSO HHA Reference and Manuals webpage.

OASIS Answers Home Health Training Webinars

The OASIS Answers, Inc. (OAI) home health training webinars are designed to provide the most innovative training to your clinicians, clinical leaders, quality improvement teams and auditors. These sessions will ensure that you are aware of and know how to apply the most recent, most relevant, and most accurate CMS home health information. Topics are based on the issues that are most pertinent to agencies and will be driven by CMS updates or changes that are critical to agency success. Check out the webinar topics listed HERE!

Interested in Serving on an IDR Panel?

Kentucky requires one member of the IDR panel to be "a person currently engaged in the provision of Home Health Agency services who has no affiliation with the provider disputing a deficiency." Typically, a Home Health Agency Director is on each IDR panel. There is no payment or travel reimbursement for a Director serving on a panel. Directors will be rotated. If a Home Health Agency Director is interested in serving on a panel, a confidentiality statement must be signed prior to the participation in the first IDR panel.

Please complete the Confidentiality Agreement and submit via email, fax or mail to:

Jennifer Smith, RN

RAI/OASIS/IDR-IIDR Coordinator

Office of Inspector General

Division of Health Care

275 E. Main St., 5E-A

Frankfort, KY 40621



Fax: (502) 564-6546

Home Health Agency Questions and Answers

Home Health Agency (HHA) Providers can access the Home Health and OASIS Q&As and other reference manuals on the HHA Providers Reference site.

These questions and their responses have been developed over many years of experience training OASIS coordinators and are currently used as part of the Home Health Agency Surveyor Training program. They can and should be used by home health agency providers in training new staff on the basics of OASIS and also as a refresher for existing staff. 

If you don't find the information you are looking for there, please submit your question to the Home Health Quality Questions mailbox.  

Which Branch

is Serving You? 

To provide the highest level of service, the Division of Health Care operates through four regional offices. Knowing the appropriate Branch to contact with questions and concerns will ensure you receive maximum service in minimum time. Review links below for detailed information.

Regional Map

Contact Information

Quality, Safety & Oversight Memos 

CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

Cabinet for Health and Family Services

Office of Inspector General

Division of Health Care 

DHC Leadership Team:

Tricia Steward

Inspector General

Peyton Sands

Deputy Inspector General

Carrie Storms

Director

Kevin Byrd

Assistant Director

Marissia Izlar

Assistant Director

Andrea Willhite

Assistant Director