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Defense Health Agency

"On October 1, 2013, the Department of Defense established the Defense Health Agency (DHA) to manage the activities of the Military Health System. These activities include those previously managed by TRICARE Management Activity (TMA), which was disestablished on the same date. During the next several months, all TMA websites will change to reflect the new DHA. We appreciate your patience during this transition."

Home Health Prospective Payment System (HHPPS)

This page contains a listing of Health Insurance Prospective Payment System (HIPPS) codes and weights used for the HHPPS. This list formerly was published in the TRICARE Reimbursement Manual, Chapter 12, Addendum J. For Calendar Year 2012 Medicare has revised the case-mix weights associated with the HIPPS codes. These case-mix files are lengthy and difficult to update; for efficiency they have been moved to this website. The HIPPS codes and case-mix weights for episodes ending before January 1, 2012 and for those ending on or after January 1, 2012 are available for download below.

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.

HIPPS Tables for Pricer Episodes