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Medicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-Mix Grouping

Published by Centers for Medicare & Medicaid Services | U.S. Department of Health & Human Services | Metadata Last Checked: December 09, 2025 | Last Modified: 2025-08-14
The Medicare Post-Acute Care Utilization - Home Health Agency (HHA) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset offers payment and utilization data for HHAs, organized by provider and Home Health Resource Group (HHRG) CMGs. It reflects the 153-group HHRG model for Calendar Years (CYs) 2014 - 2019 and the expanded 432-group model for CYs 2020 - 2023 under the Home Health Prospective Payment System (HH PPS). Low Utilization Payment Adjustment (LUPA) claims are excluded from all years, as they are not assigned an HHRG and are reimbursed per visit rather than through standardized payments.  

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Complete Metadata
@type dcat:Dataset
accessLevel public
accrualPeriodicity R/P1Y
bureauCode 
                                            [
  "009:38"
]
contactPoint 
                                            {
  "fn": "PDAG Data Products - OEDA",
  "@type": "vcard:Contact",
  "hasEmail": "mailto:PDAG_Data_Products@cms.hhs.gov"
}
dataQuality 
                                            true
describedBy https://data.cms.gov/resources/medicare-pac-utilization-hha-by-geographyprovider-and-cmg-data-dictionary
description The Medicare Post-Acute Care Utilization - Home Health Agency (HHA) by Geography/Provider and Case-Mix Grouping (CMG) supplemental dataset offers payment and utilization data for HHAs, organized by provider and Home Health Resource Group (HHRG) CMGs. It reflects the 153-group HHRG model for Calendar Years (CYs) 2014 - 2019 and the expanded 432-group model for CYs 2020 - 2023 under the Home Health Prospective Payment System (HH PPS). Low Utilization Payment Adjustment (LUPA) claims are excluded from all years, as they are not assigned an HHRG and are reimbursed per visit rather than through standardized payments.  
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identifier https://data.cms.gov/data-api/v1/dataset/6c63099b-0794-40a0-925c-51a66b9b9901/data-viewer
issued 2025-12-09
keyword 
                                            [
  "health care use & payments",
  "home health",
  "hospitals & facilities",
  "medicare",
  "national",
  "original medicare",
  "states & territories"
]
landingPage https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-home-health-agency-by-geographyprovider-and-case-mix-grouping
language 
                                            [
  "en-US"
]
license https://www.usa.gov/government-works
modified 2025-08-14
programCode 
                                            [
  "009:000"
]
publisher 
                                            {
  "name": "Centers for Medicare & Medicaid Services",
  "@type": "org:Organization"
}
references 
                                            [
  "https://data.cms.gov/sites/default/files/2025-08/2685ddd1-a3a9-406c-a4e7-e56a8b789731/RY%202025%20PAC%20PUF%20Methodologies.pdf"
]
temporal 2014-01-01/2023-12-31
theme 
                                            [
  "Medicare"
]
title Medicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-Mix Grouping

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