Rules › CMS-2026-2311

Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the Expanded HH Value-Based Purchasing Model; Medicare Provider Enrollment, Durable Medical Equipment (DME), and DME, Prosthetics, Orthotics, and Supplies (DMEPOS) Policies

Proposed rule from the Health and Human Services Department, Centers for Medicare & Medicaid Services (docket CMS-2026-2311). 198 comment letters from companies and organizations are listed below.

Agency
Health and Human Services Department, Centers for Medicare & Medicaid Services
Docket
CMS-2026-2311
Published
2026-07-06
Comments due
2026-08-31
Status
Comment period closed August 31, 2026 · no final rule found yet
Total public comments
657
Letters listed here
198

Federal Register notice ↗ · Docket on Regulations.gov ↗

Who commented, by industry

Healthcare 165 Pharma & Medical Devices 19 Technology, Media & Telecom 7 Insurance 2 Real Estate & Construction 1 Investment & Securities 1 Other 1 Advocacy & Nonprofits 1 Law, Accounting & Consulting 1

Who commented

National Association of Specialty Pharmacy Trade or professional group Pharma & Medical Devices

filed 2026-09-16

Homecare Homebase Company Technology, Media & Telecom

filed 2026-09-16

Valley Hospice Hospital or health provider Healthcare

filed 2026-09-16

Minnesota Hospital Association Trade or professional group Healthcare

filed 2026-09-16

Connected Health Initiative Hospital or health provider Healthcare

filed 2026-09-16

Johns Hopkins Care at Home Hospital or health provider Healthcare

filed 2026-09-16

Mutual of Omaha Company Insurance

filed 2026-09-16

Large Urology Group Practice Association Trade or professional group Healthcare

filed as “Large Urology Group Practice Association (LUGPA)” · filed 2026-09-16

R1 RCM Company Healthcare

filed 2026-09-16

The Hospital and Healthsystem Association of Pennsylvania Coalition or joint letter Healthcare

filed as “The Hospital + Healthsystem Association of Pennsylvania” · filed 2026-09-16

NCART Trade or professional group Pharma & Medical Devices

filed 2026-09-16

LeadingAge Trade or professional group Healthcare

filed 2026-09-16

Diabetes Technology Access Coalition (DTAC) Trade or professional group Healthcare

filed 2026-09-16

Humana, Inc. Company Insurance

filed as “Humana Inc.” · filed 2026-09-16

American Medical Rehabilitation Providers Association (AMRPA) Trade or professional group Healthcare

filed 2026-09-16

American Nurses Associaiton Trade or professional group Healthcare

filed 2026-09-16

IVEnsure Company Healthcare

filed 2026-09-16

National Coalition for Hospice and Palliative Care Trade or professional group Healthcare

filed 2026-09-16

VNS Health Hospital or health provider Healthcare

filed 2026-09-16

Sanford Health Hospital or health provider Healthcare

filed 2026-09-16

Excelacare Corporation Company Technology, Media & Telecom

filed 2026-09-16

Excelacare Corporation Company Technology, Media & Telecom

filed 2026-09-16

American Hospital Association (AHA) Trade or professional group Healthcare

filed 2026-09-16

Advanced Medical Technology Association (AdvaMed) Trade or professional group Pharma & Medical Devices

filed as “AdvaMed” · filed 2026-09-16

Breakthrough T1D Company Healthcare

filed 2026-09-16

Infusion Access Foundation Nonprofit or advocacy group Healthcare

filed 2026-09-16

National Consumer Voice for Quality Long-Term Care Hospital or health provider Healthcare

filed as “National Consumer Voice for Quality Long-Term Care, et. al.” · filed 2026-09-16

VGM Group, Inc Company Pharma & Medical Devices

filed 2026-09-16

American Academy of Hospice and Palliative Medicine Trade or professional group Healthcare

filed 2026-09-16

Alzheimer's Association and Alzheimer's Impact Movement Trade or professional group Healthcare

filed 2026-09-16

American Academy of Home Care Medicine Trade or professional group Healthcare

filed 2026-09-16

Center for Medicare Advocacy Nonprofit or advocacy group Healthcare

filed 2026-09-16

Pennsylvania Homecare Association Trade or professional group Healthcare

filed 2026-09-16

Convatec Company Pharma & Medical Devices

filed 2026-09-16

UCB, Inc. Company Pharma & Medical Devices

filed 2026-09-16

Hospice and Palliative Care Association of New York State Trade or professional group Healthcare

filed 2026-09-16

Hands of Wellness Home Health Hospital or health provider Healthcare

filed 2026-09-16

A Pineywoods Home Health Care, Inc. Hospital or health provider Healthcare

filed as “A Pineywoods Home Health Care, Inc” · filed 2026-09-16

Federation of American Hospitals Trade or professional group Healthcare

filed as “The Federation of American Hospitals” · filed 2026-09-16

The American Occupational Therapy Association Trade or professional group Healthcare

filed 2026-09-16

American Orthotic & Prosthetic Association Trade or professional group Healthcare

filed 2026-09-16

National Alliance for Care at Home Trade or professional group Healthcare

filed 2026-09-16

Michigan Health & Hospital Association Coalition or joint letter Healthcare

filed 2026-09-16

Adventist HealthCare Home Care Services Hospital or health provider Healthcare

filed 2026-09-16

National Association of Rehab Providers & Agencies Trade or professional group Healthcare

filed as “National Assoc of Rehab Providers & Agencies” · filed 2026-09-16

Senior Care Pharmacy Coalition (SCPC) Trade or professional group Pharma & Medical Devices

filed as “Senior Care Pharmacy Coalition” · filed 2026-09-16

American Medical Association Trade or professional group Healthcare

filed 2026-09-16

American Association for Homecare Trade or professional group Pharma & Medical Devices

filed 2026-09-16

BAYADA Home Health Care Hospital or health provider Healthcare

filed 2026-09-16

Coalition to Preserve Rehabilitation ("CPR") Trade or professional group Healthcare

filed 2026-09-16

Waystar Company Technology, Media & Telecom

filed 2026-09-16

American College of Cardiology Trade or professional group Healthcare

filed 2026-09-16

Optum Company Healthcare

filed 2026-09-16

*Home Care Association of New York State Trade or professional group Healthcare

filed 2026-09-16

National Association of Chain Drug Stores Trade or professional group Healthcare

filed 2026-09-16

Chesapeake-Potomac Home Health Agnecy, Inc. Hospital or health provider Healthcare

filed 2026-09-16

Alliance of Wound Care Stakeholders Trade or professional group Healthcare

filed 2026-09-16

American Podiatric Medical Association Trade or professional group Healthcare

filed as “American Podiatric Medical Association (APMA)” · filed 2026-09-16

Tuesday Health Hospital or health provider Healthcare

filed 2026-09-16

Essentia Health Hospital or health provider Healthcare

filed 2026-09-16

First Choice Home Health & Hospice Hospital or health provider Healthcare

filed 2026-09-16

The Association of Home Care Coding & Compliance Trade or professional group Healthcare

filed 2026-09-16

American Association of Nurse Practitioners Trade or professional group Healthcare

filed 2026-09-16

Trinity Health at Home Hospital or health provider Healthcare

filed 2026-09-16

Namaste Health Hospital or health provider Healthcare

filed 2026-09-16

Goals of Care Coalition of New Jersey Trade or professional group Healthcare

filed 2026-09-16

American College of Allergy, Asthma and Immunology and its Advocacy Council Trade or professional group Healthcare

filed 2026-09-16

Orthotic and Prosthetic Alliance Trade or professional group Pharma & Medical Devices

filed 2026-09-16

LeadingAge Texas Trade or professional group Healthcare

filed 2026-09-16

Diabetes Leadership Council and Diabetes Patient Advocacy Coalition Coalition or joint letter Healthcare

filed 2026-09-16

BJC Health Hospital or health provider Healthcare

filed 2026-09-16

DNV Healthcare USA Inc. Hospital or health provider Healthcare

filed 2026-09-16

AdaptHealth Company Pharma & Medical Devices

filed 2026-09-16

Pennant Group Company Healthcare

filed 2026-09-16

National Association of Real Estate Investment Trusts (NAREIT) Trade or professional group Real Estate & Construction

filed as “Nareit” · filed 2026-09-16

Greater New York Hospital Association Trade or professional group Healthcare

filed 2026-09-16

South Carolina Home Care & Hospice Association Trade or professional group Healthcare

filed 2026-09-16

Fairview Health Services Hospital or health provider Healthcare

filed 2026-09-16

Takeda Pharmaceuticals Company Pharma & Medical Devices

filed 2026-09-16

Tennessee Hospital Association Trade or professional group Healthcare

filed 2026-09-16

Orthotic and Prosthetic Alliance Trade or professional group Pharma & Medical Devices

filed 2026-09-16

American Pharmacists Association Trade or professional group Healthcare

filed 2026-09-16

National Athletic Trainers' Association Trade or professional group Healthcare

filed 2026-09-16

Home Care & Hospice Association of NJ Trade or professional group Healthcare

filed 2026-09-16

Baptist Hospice Hospital or health provider Healthcare

filed 2026-09-16

Maine Alliance for Care at Home Trade or professional group Healthcare

filed 2026-09-16

Hanger, Inc. Company Pharma & Medical Devices

filed 2026-09-16

Abbott Company Pharma & Medical Devices

filed 2026-09-16

National Association of Pediatric Nurse Practitioners Trade or professional group Healthcare

filed 2026-09-16

Adoration Health Hospital or health provider Healthcare

filed 2026-09-16

Save Home Health Coalition Trade or professional group Healthcare

filed 2026-09-16

Lincare Company Healthcare

filed 2026-09-16

Medical Group Management Association Trade or professional group Healthcare

filed 2026-09-16

Illinois HomeCare & Hospice Council Trade or professional group Healthcare

filed 2026-09-16

Texas Hospital Association Trade or professional group Healthcare

filed 2026-09-16

Sutter Health Hospital or health provider Healthcare

filed 2026-09-16

Ambulatory Surgery Center Association Trade or professional group Healthcare

filed 2026-09-16

Preferred Care Home Health Services Hospital or health provider Healthcare

filed 2026-09-16

VNA Health Group (VNAHG) Hospital or health provider Healthcare

filed 2026-09-16

Enhabit Home Health & Hospice Hospital or health provider Healthcare

filed 2026-09-16

American Speech-Language-Hearing Association Trade or professional group Healthcare

filed 2026-09-16

Home Care Association of Florida Trade or professional group Healthcare

filed 2026-09-16

UnityPoint at Home Hospital or health provider Healthcare

filed 2026-09-16

Dexcom, Inc. Company Pharma & Medical Devices

filed 2026-09-16

Healthcare Association of New York State Trade or professional group Healthcare

filed 2026-09-16

CCS Medical, Inc. Company Healthcare

filed 2026-09-16

Coalition to Transform Advanced Care Trade or professional group Healthcare

filed 2026-09-16

Texas Association for Home Care & Hospice Trade or professional group Healthcare

filed as “Texas Association for Home Care and Hospice” · filed 2026-09-16

American Clinical Laboratory Association Trade or professional group Healthcare

filed 2026-09-16

National Seating & Mobility Company Pharma & Medical Devices

filed 2026-09-16

Oregon Hospice & Palliative Care Association Trade or professional group Healthcare

filed 2026-09-16

Chiesi Farmaceutici S.p.A. Company Pharma & Medical Devices

filed 2026-09-16

Panhandle Home Health, Inc. Hospital or health provider Healthcare

filed 2026-09-16

National Infusion Center Association Trade or professional group Healthcare

filed 2026-09-16

Aveanna Healthcare Hospital or health provider Healthcare

filed 2026-09-16

Alliance on Hospital Reimbursement Trade or professional group Healthcare

filed 2026-09-16

Illinois Hospice & Palliative Care Organization Hospital or health provider Healthcare

filed 2026-09-16

Vivie Company Healthcare

filed 2026-09-16

Allina Health Hospital or health provider Healthcare

filed 2026-09-16

Bridgeway Hospice Hospital or health provider Healthcare

filed 2026-09-16

American Investment Council Trade or professional group Investment & Securities

filed 2026-09-16

Excelacare Corportation Company Technology, Media & Telecom

filed 2026-09-16

A Pineywoods Home Health Care, Inc. Hospital or health provider Healthcare

filed 2026-09-16

Western Illinois Home Health Care Hospital or health provider Healthcare

filed 2026-09-16

Well Care Health Hospital or health provider Healthcare

filed 2026-09-16

VNAs of Vermont Hospital or health provider Healthcare

filed 2026-09-16

Advocate Health Hospital or health provider Healthcare

filed 2026-09-16

Independence Through Enhancement of Medicare and Medicaid ("ITEM") Coalition Trade or professional group Healthcare

filed 2026-09-16

Healthcare Business Management Association Trade or professional group Healthcare

filed 2026-09-16

Henry Ford Health Hospital or health provider Healthcare

filed 2026-09-16

Association for Home & Hospice Care of North Carolina Trade or professional group Healthcare

filed 2026-09-16

A Pineywoods Home Health Care, Inc. Hospital or health provider Healthcare

filed as “A Pineywoods Home Health” · filed 2026-09-16

AccentCare Hospital or health provider Healthcare

filed 2026-09-16

Phelps Health Hospital or health provider Healthcare

filed 2026-09-16

American Academy of Dental Sleep Medicine Trade or professional group Healthcare

filed 2026-09-16

California Association for Health Services at Home Trade or professional group Healthcare

filed 2026-09-16

ADVION Trade or professional group Healthcare

filed 2026-09-16

Netsmart Technologies, Inc. Company Technology, Media & Telecom

filed 2026-09-16

Croí Health Hospital or health provider Healthcare

filed 2026-09-16

Axxess Company Technology, Media & Telecom

filed 2026-09-16

MaineHealth Hospital or health provider Healthcare

filed 2026-09-16

American Physical Therapy Association Trade or professional group Healthcare

filed 2026-09-16

LeadingAge Trade or professional group Healthcare

filed 2026-09-16

Elara Caring Company Healthcare

filed 2026-09-16

Aegis Therapies Company Healthcare

filed 2026-09-16

Philips Company Pharma & Medical Devices

filed 2026-09-16

American Academy of Physical Medicine & Rehabilitation Trade or professional group Healthcare

filed 2026-09-16

Healthcare Nutrition Council Trade or professional group Healthcare

filed 2026-09-16

Hospice and Palliative Care Association of Iowa Trade or professional group Healthcare

filed 2026-09-16

Oncology Nursing Society Trade or professional group Healthcare

filed 2026-09-16

MedOne Healthcare Partners Hospital or health provider Healthcare

filed 2026-09-16

Encompass Health Hospital or health provider Healthcare

filed 2026-09-16

National Partnership for Healthcare and Hospice Innovation Nonprofit or advocacy group Healthcare

filed 2026-09-16

National Patient Advocate Foundation Nonprofit or advocacy group Healthcare

filed 2026-09-16

AMGA Trade or professional group Healthcare

filed 2026-09-16

Corewell Health Hospital or health provider Healthcare

filed 2026-09-16

VITAS Healthcare Hospital or health provider Healthcare

filed 2026-09-16

Arizonans for Better Healthcare Coalition Trade or professional group Healthcare

filed 2026-09-16

American Society for Gastrointestinal Endoscopy Trade or professional group Healthcare

filed 2026-09-16

Compassus, LLC Company Healthcare

filed 2026-09-16

MedStar Health Home Care Hospital or health provider Healthcare

filed 2026-09-16

American College of Obstetricians & Gynecologists Trade or professional group Healthcare

filed 2026-09-16

Coloplast Corporation Company Pharma & Medical Devices

filed 2026-09-16

Shepherd’s Cove Company Other

filed 2026-09-16

AARP Nonprofit or advocacy group Advocacy & Nonprofits

filed 2026-09-16

UPMC Home Health Hospital or health provider Healthcare

filed 2026-09-16

Tactile Medical Company Healthcare

filed 2026-09-16

American Academy of Dermatology / Association Coalition or joint letter Healthcare

filed 2026-09-16

American Gastroenterological Association Trade or professional group Healthcare

filed 2026-09-16

American Academy of Physician Associates Trade or professional group Healthcare

filed 2026-09-16

SSM Health Hospital or health provider Healthcare

filed 2026-09-16

TechStack Consulting LLC Company Law, Accounting & Consulting

filed 2026-09-02

National Rural Health Association Trade or professional group Healthcare

filed 2026-09-02

National Home Infusion Association (NHIA) Trade or professional group Healthcare

filed 2026-09-02

Homecare and Hospice Association of Utah Trade or professional group Healthcare

filed 2026-09-02

American Society of Echocardiography Trade or professional group Healthcare

filed 2026-09-02

Healthview Home Health Hospital or health provider Healthcare

filed 2026-09-02

Wound Healing Society Trade or professional group Healthcare

filed 2026-09-02

Compassionate Home Health Care Hospital or health provider Healthcare

filed 2026-09-02

Aviator Home Health Hospital or health provider Healthcare

filed 2026-09-02

Home Care and Hospice Association of Colorado Trade or professional group Healthcare

filed 2026-09-02

Aviator Home Health Hospital or health provider Healthcare

filed 2026-09-02

Home Care Alliance of MA Trade or professional group Healthcare

filed 2026-09-02

National Organization of Rheumatology Management Trade or professional group Healthcare

filed 2026-09-02

LeadingAge NJ & DE Trade or professional group Healthcare

filed 2026-09-02

Arev Home Health Services, Inc. Hospital or health provider Healthcare

filed 2026-08-24

Northern Light Home Care & Hospice Hospital or health provider Healthcare

filed 2026-08-24

American Board for Certification in Orthotics, Prosthetics and Pedorthics Trade or professional group Healthcare

filed 2026-08-24

Hackensack Meridian Health Hospital or health provider Healthcare

filed 2026-08-24

American Health Care Association/National Center for Assisted Living (AHCA/NCAL) Trade or professional group Healthcare

filed as “American Health Care Association/National Center for Assisted Living” · filed 2026-08-24

Alliance of Specialty Medicine Trade or professional group Healthcare

filed 2026-08-24

The ALS Association Trade or professional group Healthcare

filed 2026-08-24

co-op.care Hospital or health provider Healthcare

filed 2026-08-24

New Hampshire Health Care Association Trade or professional group Healthcare

filed 2026-08-20

Fabry Support & Information Group Company Healthcare

filed 2026-08-20

United Ostomy Associations of America, Inc. (UOAA) Trade or professional group Healthcare

filed 2026-08-20

Premier Inc Company Healthcare

filed 2026-08-20

Innovative Financial Solutions for Home Health Hospital or health provider Healthcare

filed 2026-08-17