by Megan Bernier, MSPT RAC-CT CHS-C COS-C
The Preliminary July 2026 Interim Performance Reports (IPRs) for the expanded HHVBP Model have been published in the Internet Quality Improvement and Evaluation System (iQIES).
Is My Agency Eligible?
An HHA receives a July 2026 IPR if the HHA:
- Was Medicare certified prior to January 1, 2025, and
- Meets the minimum threshold of data for at least one (1) quality measure in the quarterly reporting period for the performance year.
July IPR quality measure performance time periods for each measure category include:
| Measure Category | Time Period | Minimum Data Threshold |
| OASIS-based | April 1, 2025 – March 31, 2026 | 20 home health quality episodes |
| Claims-based | DTC-PAC: Jan 1, 2024 – Dec 31, 2025
PPH: Jan 1, 2025 – Dec 31, 2025 |
20 home health stays |
| HHCAHPS Survey-based | Jan 1, 2025 – Dec 31, 2025 | 40 completed surveys |
An important note was included in the CMS listserv announcing the availability of the Preliminary IPRs regarding the “CY 2026 Baseline” and “CY 2026 Performance” tabs.
For both these tabs, due to a delay in availability of data needed to calculate CY2024/CY2025 MSPB-PAC measure performance, improvement thresholds based on this performance period are not yet assigned to HHAs that were previously ineligible or did not meet the minimum data threshold to establish a CY 2022/2023 or CY 2023/2024 HHA baseline year for this measure. Assignment of improvement thresholds based on CY 2024/2025 MSPB-PAC measure performance will occur as soon as technically feasible.
Additionally, performance scores for the claims-based MSPB-PAC measure are not yet available. Therefore, performance scores for this measure are not reported on this “CY 2026 Performance” tab.
CMS also notes that there is no action needed by HHAs related to this topic and they are simply sharing the updates to help HHAs stay informed and prepared.
HHAs have until July 31, 2026, to submit a recalculation request if, after reviewing their agency’s IPR, they believe that there is a discrepancy in the calculation of any performance score(s).
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