{"data":{"id":"us/42-cfr-484.365","jurisdiction":"us","citation":"42 CFR 484.365","heading":"Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.","body":"CMS determines a payment adjustment up to the applicable percent, upward or downward, under the expanded HHVBP Model for each competing HHA based on the agency's Total Performance Score using a linear exchange function that includes all other HHAs in its cohort that received a Total Performance Score for the applicable performance year. Payment adjustments made under the expanded HHVBP Model are calculated as a percentage of otherwise-applicable payments for home health services provided under section 1895 of the Act (42 U.S.C. 1395fff).","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":"ab1b11dc5f90e502c3803102a4864456f2835fcd085751c1835e386088f74f4b","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-484.360","next":"us/42-cfr-484.370"},"notice":"GroundRules: Original legal text. Not legal advice."}