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CY2026 payment impact on your revenue.

Apply the CY2026 Home Health Final Rule net aggregate change (-1.3%) to your current Medicare home health revenue as a planning estimate.

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NEXUS HELIXCY2026 payment impact
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Last reviewed June 15, 2026.

CY2026 payment impact

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CY2026 net aggregate change applied-1.3%
Estimated annual dollar change-$13,000
Estimated CY2026 revenue$987,000
Methodology

CMS estimates that aggregate Medicare payments to home health agencies in CY2026 will decrease by about 1.3% (roughly $220M) versus CY2025. That net is the combination of a +2.4% productivity-adjusted market basket update (a 3.2% market basket increase reduced by a 0.8 percentage-point productivity adjustment), a -1.023% permanent behavioral adjustment, and a -3.0% temporary adjustment. This tool applies the -1.3% aggregate to your input as a planning estimate. Your agency's actual change depends on case mix, LUPAs, outliers, and recalibrated CY2026 case-mix weights — it can be higher or lower than the national aggregate.

Source CMS CY2026 HH PPS Final Rule (CMS-1828-F) — aggregate -1.3% / -$220M: cms.gov CMS-1828-F fact sheet

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Does HELIX provide legal, payer, clinical, or compliance advice?

No. HELIX provides workflow software and operational tooling. Agencies remain responsible for regulatory and payer obligations.

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No. Resource pages explain operational workflow context and avoid unsupported certification or outcome claims.

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