If a home health agency provides four visits or less in an episode, they will be paid a standardized per visit payment instead of an episode payment for a 60-day period, which is referred to as a:

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This is known as a Low Utilization Payment Adjustment (LUPA). When a home health agency provides four or fewer visits during a 60-day episode of care, they receive a per-visit payment instead of the full episode payment.

If a Home Health Agency Provides Four Visits or Less