42 CFR § 484.365 - Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.

---
identifier: "/us/cfr/t42/s484.365"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 484.365 - Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model."
title_number: 42
title_name: "Public Health"
section_number: "484.365"
section_name: "Payments for home health services under the Expanded 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: "2026-04-05"
last_updated: "2026-04-05"
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"
---


# 484.365 Payments for home health services under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.

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).