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To: HHA Providers, CMS Staff
Expanded HHVBP Model: Final October 2025 Interim Performance Reports (IPRs) are Available in iQIES
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Final October 2025 Interim Performance Reports (IPRs) are Available in iQIES
The Final October 2025 IPRs for the expanded HHVBP Model have been published in the Internet Quality Improvement and Evaluation System (iQIES). HHAs that were initially Medicare certified in 2023 (or before) are eligible to receive October 2025 IPRs.
The quarterly IPRs provide home health agencies (HHAs) with the cohort assignment, performance year measure data for the 12 most recent months, and the interim Total Performance Score (TPS). Using the IPRs, an HHA can assess and track their performance relative to peers in their respective cohort throughout the expanded Model performance year. Note that the CY 2025 measure set is reported and includes the following measures:
OASIS-based Measures
- Improvement in Dyspnea (Dyspnea)
- Improvement in Management of Oral Medications (Oral Medications)
- Discharge Function (DC Function)
Claims-based Measures
- Discharge to Community – Post Acute Care (DTC-PAC)
- Potentially Preventable Hospitalizations – Post Acute Care (PPH)
HHCAHPS Survey-based Measures
- Care of Patients (Professional Care)
- Communications between Providers and Patients (Communication)
- Specific Care Issues (Team Discussion)
- Overall rating of home health care (Overall Rating)
- Willingness to recommend the agency (Willing to Recommend)
An HHA receives an October 2025 IPR if the HHA:
- Was Medicare certified prior to January 1, 2024, and
- Meets the minimum threshold of data for at least one (1) quality measure in the quarterly reporting period for the performance year shown in Exhibit 1.
Exhibit 1: October 2025 IPR quality measure performance scores time periods for each measure category
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Measure Category
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Time Period
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Minimum Data Threshold
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OASIS-based
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Jul 1, 2024 – Jun 30, 2025
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20 home health quality episodes
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Claims-based
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DTC-PAC: Apr 1, 2023 – Mar 31, 2025;
PPH: Apr 1, 2024 – Mar 31, 2025
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20 home health stays
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HHCAHPS Survey-based*
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Apr 1, 2024 – Mar 31, 2025
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40 completed surveys
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* Not included in the TPS calculation for HHAs in the smaller-volume cohort. For additional details on cohort assignment in the expanded Model, please review Section 2 in the Expanded HHVBP Model Guide, available on the Expanded HHVBP Model webpage, under “FAQs & Model Guide.”
Important note: Due to a calculation error in the CY 2024 OASIS-based Discharge Function (DC Function) measure values reported in the July 2025 IPRs, CMS corrected improvement thresholds for HHAs with improvement thresholds based on CY 2024 data as reported in the October 2025 IPRs. HHAs with improvement thresholds based on CY 2023 data were not impacted by this correction as CY 2023 measure values were calculated correctly.
How to check if your HHA was impacted by this correction –
HHAs that received a July 2025 IPR, please go through the following steps to identify if you were impacted by this correction:
- Open your HHA’s July 2025 IPR and navigate to the “CY 2025 Baseline” tab.
- If you did not receive a July 2025 IPR and/or October 2025 IPR, no further action is required on your part.
- Locate the column labeled “Baseline Year Data Period [b].
- If you see “12-31-2024” in this column for the OASIS-based DC Function measure, the corresponding improvement threshold (listed in the adjacent column labeled “Your HHA’s Improvement Threshold”) was recalculated. Your HHA’s October 2025 IPR shows the correct CY 2024 Improvement Threshold for this measure.
- If you see “12-31-2023” in this column for the OASIS-based DC Function measure, no corrections were made to your improvement threshold as the CY 2023 measure data were not impacted.
For any questions related to this correction of the CY 2024 improvement thresholds for the OASIS-based DC Function measure, please contact the HHVBP Model Help Desk at HHVBPquestions@cms.hhs.gov.
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Accessing IPRs
IPRs are available via iQIES in the “HHA Provider Preview Reports” folder, by the CMS Certification number (CCN) assigned to the HHA. If your organization has more than one (1) CCN, then a report will be available for each CCN. Only iQIES users authorized to view an HHA’s reports can access expanded HHVBP Model reports. IPRs are not available to the public. For assistance with downloading your HHA’s IPR, please contact the iQIES Service Center at 1-800-339-9313, Monday through Friday, 8:00 AM-8:00 PM ET, or by email (iqies@cms.hhs.gov). To create a ticket online or track an existing ticket, please go to CCSQ Support Central.
- Log into iQIES at https://iqies.cms.gov/.
- Select the My Reports option from the Reports menu.
- From the My Reports page, select the HHA Provider Preview Reports folder. The folders and reports on the My Reports page are listed in alphabetical order. Thus, users may need to utilize the “page forward” functionality at the bottom of the webpage to advance to the page where the HHA Provider Preview Reports folder is located. Alternatively, users may change the default number of rows that display on the webpage from 10 to a larger number to view the larger list of folders. Note: Files in the HHA Provider Preview Reports folder are listed in descending order (i.e., in the order of the newest reports to the oldest).
- Select the HHVBP report file, and the contents of the file will display.
Instructions on how to access the IPRs are also available on the Expanded HHVBP Model webpage, under “Model Reports.”
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Contact Us
Please do not reply to this email – this is an unmonitored inbox. If you require assistance, use the following options:
- For program questions about the expanded HHVBP Model, contact the HHVBP Model Help Desk at HHVBPquestions@cms.hhs.gov.
- For support with registration for the Internet Quality Improvement and Evaluation System (iQIES), please contact our QIES/iQIES Service Center by phone at (800) 339-9313 or by email at iqies@cms.hhs.gov. You may also refer to the iQIES Onboarding Guide posted to QTSO for registration support: https://qtso.cms.gov/software/iqies/reference-manuals.
- To receive email updates about the expanded Model, please subscribe to the Expanded HHVBP Model listserv. Enter your email address in the contact form, then select “Home Health Value-Based Purchasing (HHVBP) Expanded Model” from the Innovations list.
- Please contact the Home Health Quality Reporting Program (HH QRP) Help Desk at homehealthqualityquestions@cms.hhs.gov for questions about the following: Home Health Quality, including Care Compare (excluding HHCAHPS), OASIS coding and OASIS documentation, quality reporting requirements & deadlines, data reported in quality reports, measure calculations, Quality of Patient Care Star Rating (excluding suppression requests), public reporting, risk adjustment, and Quality Assessment Only (QAO)/Pay for Reporting (P4P).
- Please contact the Home Health CAHPS Help Desk at hhcahps@rti.org for questions related to the HHCAHPS Survey or Patient Survey Star Ratings.
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Important Links:
Expanded HHVBP Model webpage | Expanded HHVBP Model YouTube playlist
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