CMS-1844-F published Nov. 9 at 91 FR 72022. What home health and hospice agencies should verify in the Federal Register

Short answer: CMS-1844-F, the CY 2027 home health final rule, published in the Federal Register on Monday, Nov. 9, 2026, as FR Doc. 2026-22750 at 91 FR 72022–72173. Payment and HH QRP provisions take effect Jan. 1, 2027. The DATES line prints "January 4, 2026" for the other provisions; we quote it as printed and flag it.

Update, Nov. 9, 2026 (morning CT): published. The rule is now FR Doc. 2026-22750, 91 FR 72022–72173 (official PDF). What the published text shows on the checklist below: - Citation: 91 FR 72022, Monday, Nov. 9, 2026. - DATES, as printed: the HH PPS and HH QRP provisions and the 42 CFR 484.245 changes "are effective January 1, 2027." For everything else, the line reads "these regulations are effective on January 4, 2026." That date is earlier than publication and looks like an error. We quote it as printed. As of Monday morning we found no correction notice, and we are not substituting our earlier Jan. 3, 2027 count. - Payment math: the published text matches the public-inspection figures: a 2.1% update ($365 million), a 0.3% fixed-dollar-loss effect ($50 million), net +2.4% or $415 million, and a 3.0% temporary cut (factor 0.9700). The $2,092.69 30-day rate sits in an image table in the published version, which we could not text-check. Our explainer cites it to the public-inspection Table B13. - "[To be added]": the published 42 CFR 424.535(g)(2) still reads "[To be added]." - Moratoria: the rule finalizes changes to how future enrollment moratoria work but is not an extension of the current HHA and hospice freezes. See our story on the 424.570 changes.

The checklist below was written Nov. 7, before publication, and is kept for the record.

Key facts (as of Nov. 7, 2026, morning) - Publish date: Monday, Nov. 9, 2026, per the Federal Register public-inspection listing and CMS's HH PPS regulations page (CMS-1844-F). - Already readable: the public-inspection PDF filed Nov. 4 (447 pages).

CMS issued the CY 2027 Home Health PPS final rule (CMS-1844-F) for public inspection on Nov. 4. Our status page and full explainer already cover the payment math. This weekend piece is the Monday checklist.

When was it issued vs when does the Federal Register publish?

Issued / filed: Nov. 4, 2026, as FR Doc. 2026-22750 on public inspection.

Scheduled FR publication: Nov. 9, 2026. That is when the official Federal Register citation (volume and page range) appears and the document moves from "unpublished / public inspection" to a published rule.

What should agencies verify on Monday?

1. The Federal Register citation (volume, page, FR Doc. confirmation) on the published notice — not the public-inspection URL alone.
2. DATES section: payment and HH QRP provisions effective Jan. 1, 2027; enrollment and other provisions effective 60 days after the Nov. 4 filing (we count Jan. 3, 2027). Confirm the printed effective dates Monday.
3. Any text that was marked "[To be added]" in the public-inspection regulatory text (we flagged one enrollment paragraph in our enrollment-changes story).
4. CMS fact sheet or MLN note, if CMS posts one with the publication.

What payment figures are already on the public-inspection copy?

Per the Nov. 4 public-inspection text summarized on our explainer: a 2.1% payment update, a 3.0% temporary adjustment (factor 0.9700), and an estimated net +2.4% (~$415 million) for 2027. Re-verify those figures against the published FR text Monday; do not treat this checklist as a substitute for the rule.

What about the enrollment moratorium clock?

The enrollment moratorium is a separate matter. CMS-1844-F's scheduled publication is not itself an announcement extending or ending the moratoria. Check the CMS Provider Enrollment Moratoria page, our moratorium tracker and the 424.570 expiration explainer for that distinct policy.

What this page is not

Not clinically reviewed. Not billing, coding or legal advice. Not a prediction that CMS will or will not extend the enrollment moratoria.

Sources

• Federal Register public inspection, FR Doc. 2026-22750
• Public-inspection PDF, FR Doc. 2026-22750
• CMS, Home Health PPS regulations and notices
• CMS, Provider Enrollment Moratoria

Photo: G. Edward Johnson, via Wikimedia Commons, CC BY 4.0 (cropped). HHS headquarters entrance, Washington, D.C., February 2025. File photo; illustration only.

Not clinically reviewed. Informational only, not billing, legal or clinical advice. Check the linked primary source and your Medicare Administrative Contractor.

Drafted with AI assistance from primary sources. Written and edited by the Home Health Brief newsroom under Monsaur Othman's editorial standards. Read how we use AI, our editorial policy and our corrections policy.