The Centers for Medicare & Medicaid Services (CMS) released information on requesting recalculation requests for the HHVBP model. There are two versions of the quarterly interim performance reports (IPRs): a Preliminary IPR and a Final IPR.
The Preliminary IPR provides an HHA with an opportunity to submit a recalculation request for applicable measures and interim performance scores if the agency believes there is evidence of a discrepancy in the calculation. Please note the recalculation request does not apply to errors in data submission since submission requirements for the expanded Model align with current Code of Federal Regulations (CFRs).
To dispute the calculation of the performance scores in the Preliminary IPR, an HHA must submit a recalculation request within 15 calendar days after publication of the Preliminary IPR. The Final IPR will reflect any changes resulting from an approved recalculation.
HHAs may submit requests for recalculation by emailing hhvbp_recalculation_requests@abtassoc.com. Recalculation requests must contain the following information, as cited in the CY 2022 HH PPS final rule (p. 62331) and CFR §484.375:
- The provider’s name, address associated with the services delivered, and CCN.
- The basis for requesting recalculation to include the specific data that the HHA believes is inaccurate or the calculation the HHA believes is incorrect.
- Contact information for a person at the HHA with whom CMS or its agent can communicate about this request, including name, email address, telephone number, and mailing address (must include physical address, not just a post office box).
- A copy of any supporting documentation, not containing PHI, the HHA wishes to submit in electronic form.
For questions, please email the Expanded HHVBP Model Help Desk at HHVBPquestions@lewin.com.