42 CFR § 484.330 - Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model.

---
identifier: "/us/cfr/t42/s484.330"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 484.330 - Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model."
title_number: 42
title_name: "Public Health"
section_number: "484.330"
section_name: "Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "484"
part_name: "HOME HEALTH SERVICES"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "54 FR 33367, Aug. 14, 1989, unless otherwise noted."
cfr_part: "484"
---


# 484.330 Process for determining and applying the value-based payment adjustment under the Home Health Value-Based Purchasing (HHVBP) Model.

(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.

(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.

(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.