On June 28, 2021, the Centers for Medicare & Medicaid Services (CMS) proposed to expand the nine-state Home Health Value-Based Purchasing (HHVBP) Model to all Medicare-certified home health agencies (HHAs) in the 50 States, territories, and District of Columbia beginning January 1, 2022. The proposal would shift home health Medicare reimbursement from fee-for-service (FFS) (a set payment amount decided by CMS) to a value-based system relying on quality metrics and savings generated. The CMS Innovation Center (CMMI) implemented the HHVBP Model on January 1, 2016, based on the authority of Section 1115A of the . . .