{"data":{"id":"us/42-cfr-484.330","jurisdiction":"us","citation":"42 CFR 484.330","heading":"Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model.","body":"(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.\n(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.\n(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.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER G—STANDARDS AND CERTIFICATION","PART 484—HOME HEALTH SERVICES","Subpart F—Home Health Value-Based Purchasing (HHVBP) Models"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"34e03f8cb0deb1faee357fc78755366cdd935285d6caba1a3846936bd9792022","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-484.325","next":"us/42-cfr-484.335"},"notice":"GroundRules: Original legal text. Not legal advice."}