In a September 16, 2025 Prior Authorization and Pre-Claim Review Overview report, the Centers for Medicare and Medicaid Services (CMS) released updated stats on all prior authorization and pre-claim review programs–including the Review Choice Demonstration for Home Health Services, which was extended in May 2025 for an additional five years.

The FY2024 stats found the accuracy rates of the Medicare Administrative Contractor (Palmetto) decreased to 97.7% from 100% in FY2023 and the number of days to process requests increased slightly from 4 to 4.7. The rate of claims overturned on level 1 appeal also jumped from 35.4% in FY2023 to 51.6% in FY2024. The percentage of approved requests decreased slightly from 85.5% in FY2023 to 84.4% in FY2024. Some of this decrease was likely caused by the addition of Oklahoma as a demonstration state starting December 1, 2023.

Despite the decrease in accuracy, CMS continued to see a decline in home health payments in the states covered by the demonstration.