Patient-Driven Grouping Model (PDGM)

HHFMA is providing members with current resource information at this website location for PDGM which becomes effective with new 30-day episodes on and after January 1, 2020 . This information will be continuously updated with the latest information available. Members should be cautioned that certain files will be updated by CMS every calendar period and may be labeled as proposed or final. We expect new proposed rules and rates to be published this Summer with the Final rules published in late October or Early November 2019.

CMS Overview of PDGM
CMS 2-12-19 mln Call Presentation Slides
CMS 2-12-19 mln transcript of Presentation
Excel file PDGM Grouper Tool CY 2019 Weights
Excel file PDGM 2019 LUPA thresholds w groupings
Excel file PDGM Agency Level Impacts for CY 2019 based upon claims processed