Senator Susan Collins Joins Other Lawmakers, Asks CMS to Ditch PDGM’s 4.36% Behavioral Adjustment

Senator Susan Collins (R-Maine) has sent a letter to the U.S. Centers for Medicare & Medicaid Services (CMS) on behalf of home health providers, urging the agency to reconsider the 4.36% behavioral adjustment baked into the Patient-Driven Groupings Model (PDGM) this year and in 2021.

Collins isn’t alone. U.S. Representative Vern Buchanan, a Republican from Florida, recently did the same.

“I write to request that you revisit the calculation of the ‘behavioral assumption’ rate reduction in the home health payment system and consider eliminating the proposed 4.36% reduction for 2021,” Collins wrote in the letter. “At a time when skilled and compassionate home-based care is more important than ever … I am concerned that continuing this payment rate reduction in 2021 could affect continued access to home health care services.”

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