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

    Metadata Updated: August 15, 2025

    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.

    Access & Use Information

    Public: This dataset is intended for public access and use. License: See this page for license information.

    Downloads & Resources

    References

    https://data.cms.gov/sites/default/files/2025-08/2685ddd1-a3a9-406c-a4e7-e56a8b789731/RY%202025%20PAC%20PUF%20Methodologies.pdf

    Dates

    Metadata Created Date August 15, 2025
    Metadata Updated Date August 15, 2025
    Data Update Frequency R/P1Y

    Metadata Source

    Harvested from Healthdata.gov

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date August 15, 2025
    Metadata Updated Date August 15, 2025
    Publisher Centers for Medicare & Medicaid Services
    Maintainer
    Identifier https://data.cms.gov/data-api/v1/dataset/6c63099b-0794-40a0-925c-51a66b9b9901/data-viewer
    Data First Published 2025-08-15
    Language en-US
    Data Last Modified 2025-08-14
    Category Medicare
    Public Access Level public
    Data Update Frequency R/P1Y
    Bureau Code 009:38
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://healthdata.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Data Quality True
    Data Dictionary https://data.cms.gov/resources/medicare-pac-utilization-hha-by-geographyprovider-and-cmg-data-dictionary
    Harvest Object Id f2fca522-8558-4948-9080-0de47acfadc1
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL 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
    License https://www.usa.gov/government-works
    Program Code 009:000
    Related Documents https://data.cms.gov/sites/default/files/2025-08/2685ddd1-a3a9-406c-a4e7-e56a8b789731/RY%202025%20PAC%20PUF%20Methodologies.pdf
    Source Datajson Identifier True
    Source Hash 73276db3600e03cf82e88c41d33cae0073e0e0b95d43fcde9a10019802c9a05c
    Source Schema Version 1.1
    Temporal 2014-01-01/2023-12-31

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