Where is the CY 2027 Medicare home health final rule? It's been filed, and it publishes Nov. 9

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

Superseded, Nov. 9, 2026: the final rule published in the Federal Register Monday as FR Doc. 2026-22750, 91 FR 72022. This status page is no longer updated. For the rule itself, read our CY 2027 final-rule explainer and the Nov. 9 checklist.

CMS's CY 2027 home health final rule went on public inspection at the Federal Register on Nov. 4, 2026, and is scheduled to publish Nov. 9. It finalizes a 2.1% payment update and a 3.0% temporary cut, for an estimated net increase of 2.4%, or $415 million, in 2027 payments. Payment provisions take effect Jan. 1, 2027.

Key facts - Update, Nov. 4: the final rule went on public inspection Nov. 4 (FR Doc. 2026-22750) and is scheduled to publish Nov. 9, 2026. - Final numbers: 2.1% update, 3.0% temporary cut, net +2.4% or about $415 million; payment provisions effective Jan. 1, 2027 (final rule PDF). - At OMB since Sept. 21, 2026: the final rule (RIN 0938-AV80) shows "Pending Review" at reginfo.gov, checked Nov. 4. - Not published yet: the Federal Register has only the proposed rule, 91 FR 41216 (July 6, 2026). - Update, Nov. 5 afternoon: CMS's HH PPS regulations page now lists CMS-1844-F above CMS-1844-P, with a publication date of Nov. 9, 2026. The rule is still on public inspection; we are not adding a Federal Register page citation until it publishes. - Update, Nov. 6 afternoon: Still on public inspection as FR Doc. 2026-22750; scheduled publication remains Nov. 9. No Federal Register page citation yet. - Proposed: 2.1% update, a 3.0% temporary cut, net +2.4% or about $420 million (91 FR 41216). - Recent timing: the CY 2025 final rule ran Nov. 7, 2024; the CY 2026 final rule ran Dec. 2, 2025.

Is the CY 2027 home health final rule out?

Update, 4:15 p.m. CT Nov. 4: Yes. The Office of the Federal Register put the final rule on public inspection Wednesday afternoon as FR Doc. 2026-22750, a 447-page document scheduled to publish in the Federal Register on Nov. 9, 2026. Its summary table estimates a $415 million (2.4%) increase in 2027 payments: the 2.1% payment update adds about $365 million and an updated outlier threshold about $50 million. CMS finalized the 3.0% temporary reduction it proposed (a 0.9700 factor), which it estimates recoups $500 million of about $4.9 billion in past overpayments. The payment and quality-reporting provisions take effect Jan. 1, 2027; the rule's other provisions take effect 60 days after filing (final rule, public inspection PDF). We'll publish a fuller explainer.

Update, Nov. 7 morning (about 7:10 a.m. CT): Still scheduled to publish Nov. 9, 2026. A Federal Register documents lookup by RIN 0938-AV80 still returns only the July 6 proposed rule. The weekend public-inspection list is unavailable after midnight Eastern and returns Monday at 8:45 a.m. ET. We are not inventing a Federal Register citation or page range before Nov. 9. See also today's Monday checklist.

Update, Nov. 6 afternoon (about 4:10 p.m. CT): No change on publication timing. The final rule is still on public inspection as FR Doc. 2026-22750 and still scheduled to publish Nov. 9, 2026. CMS's home health regulations page still lists CMS-1844-F with a publication date of Nov. 9. A Federal Register documents lookup by RIN 0938-AV80 still returns only the July 6 proposed rule. We are not inventing a Federal Register citation or page range before Nov. 9.

Update, Nov. 5 afternoon (about 4:05 p.m. CT): CMS's home health regulations page now lists CMS-1844-F above CMS-1844-P and shows a publication date of Nov. 9, 2026. That matches the Federal Register's scheduled publication date. The document is still on public inspection as FR Doc. 2026-22750; a Federal Register documents lookup for that number still returns nothing published, and the RIN 0938-AV80 documents list still shows only the July 6 proposed rule. We are not inventing a Federal Register citation or page range before Nov. 9.

Earlier on Nov. 4, before the filing: when we checked that morning, the Federal Register listed one document under the rule's ID number, RIN 0938-AV80: the proposed rule published July 6, 2026. CMS's home health regulations page then listed CMS-1844-P as the newest home health rule, with no final version.

Where is the rule now?

At the White House. The OIRA review record on reginfo.gov shows the CY 2027 Home Health Prospective Payment System Rate Update and Home Infusion Therapy Services Payment Update (CMS-1844), at the final-rule stage, received Sept. 21, 2026. It's labeled economically significant, and its status was "Pending Review" on Nov. 4. OIRA, part of the Office of Management and Budget, handles this review under Executive Order 12866, as the record shows. The record doesn't give a completion date.

What did CMS propose for 2027?

The main payment pieces, from the proposed rule:

• A 2.1% payment update for CY 2027 (91 FR 41270).
• No new permanent cut, but a 3.0% temporary one. CMS proposed a 0.9700 temporary adjustment factor to begin recovering what it calculates as about $4.9 billion in past overpayments tied to the 2020 payment-model change. It estimates the cut would collect about $500 million in 2027 (91 FR 41240).
• A net effect of +2.4%, or about $420 million in aggregate for 2027, which CMS says is driven mostly by the payment update and an updated outlier threshold (91 FR 41319).
• Recalibrated case-mix weights and updated low-utilization (LUPA) thresholds, functional impairment levels and comorbidity subgroups.

The proposal also discusses palliative care under the home health benefit, asks for comment on a home-health-specific wage index, proposes Home Health Quality Reporting Program changes, and includes medical equipment (DMEPOS) and provider-enrollment changes. Comments closed Aug. 31, 2026. Our October story on the proposed rule goes deeper.

Could the final rule be different?

Yes. A final rule can change any proposal after public comments, and nothing on the OIRA record shows what changed. Until the final rule is published, the proposed numbers are only proposals.

When do home health final rules usually come out?

In recent years, between early November and early December. The CY 2025 final rule was published Nov. 7, 2024, and took effect Jan. 1, 2025. The CY 2026 final rule was published Dec. 2, 2025. Neither date tells us when this year's rule will come out.

What happens next?

Update, Nov. 4: OIRA's review has ended and the rule is on public inspection. Its publication in the Federal Register, scheduled for Nov. 9, makes it official. Our separate explainer covers the rest of the rule, including the quality reporting, enrollment and equipment changes.

Sources

• CY 2027 HH PPS final rule, public inspection, FR Doc. 2026-22750 (Federal Register)
• OIRA review record, RIN 0938-AV80 (reginfo.gov)
• CY 2027 HH PPS proposed rule, 91 FR 41216 (Federal Register)
• Federal Register documents for RIN 0938-AV80
• CMS, HH PPS regulations and notices
• CY 2025 HH PPS final rule, 89 FR 88354
• CY 2026 HH PPS final rule, 90 FR 55342

Sources were opened and checked Nov. 4, 2026, and rechecked Nov. 5–7, 2026. Superseded Nov. 9, 2026, about 7:20 a.m. CT: published at 91 FR 72022 (Federal Register API and HTML opened). Home Health Brief corrects errors under its published corrections policy.

Photo: Abovfold / Wikimedia Commons, CC BY-SA 4.0 (cropped). The Eisenhower Executive Office Building in Washington, April 2021; illustration only.

Drafted with AI assistance from primary sources. Written and edited by the Home Health Brief newsroom under Monsaur Othman's editorial standards.