Home Health Patient-Driven Groupings Model (PDGM)

Published 06/11/2026

Effective for claims with a "From" date on or after January 1, 2020, Change Request (CR) 11081 implements the policies of the home health Patient-Driven Groupings Model (PDGM) as described in the Calendar Year (CY) 2019 home health (HH) final rule (CMS-1689-FC). The PDGM changes the unit of payment from 60-day episodes of care to 30-day periods of care, eliminates the therapy thresholds used in determining home health payment and includes other operation changes.

Resources


Was this article helpful?