Creation of HH PPS and Subsequent Refinements

10.1.1 - Creation of HH PPS and Subsequent Refinements (Rev. 10758; Issued: 05-11-21; Effective: 01-01-22; Implementation: 08-11-21) The HH PPS was initially mandated by law in the Balanced Budget Act of 1997 and legislative requirements were modified in various subsequent laws. Section 1895 of the Social Security Act contains current law regarding HH PPS. The initial implementation of the HH PPS was effective for dates of service on and after October 1, 2000. Refinements to the case-mix system of the HH PPS system were for episodes of care beginning on and after January 1, 2008. Effective for periods of care beginning on and after January 1, 2020, the original HH PPS system was updated to apply the Patient-Driven Grouping Model. Home health Notices of Admission (NOAs) are required for periods of care beginning on and after January 1, 2022. The sections that follow describe billing for services on or after January 1, 2022.