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Home Health Prospective Payment System (HHPPS)

This page contains a listing of case-mix weights used for the HHPPS. This list formerly was published in the TRICARE Reimbursement Manual, Chapter 12, Addendum J. The HIPPS codes and case-mix weights for episodes are available for download below.

HIPPS Tables for Pricer Episodes

   

Additionally, payments under the HHPPS are subject to a wage-index adjustment. Previously these were published in the TRICARE Reimbursement Manual. For efficiency, we are now publishing them to this website.

HHA PPS Wage Index

   

Please visit the TRM, Chapter 12 at http://manuals.tricare.osd.mil and the Medicare HHA PPS website at www.cms.gov/HomeHealthPPS for additional information on coding and billing for Home Health care reimbursed through the HHPPS.