# CMS Home Health PDGM Case-Mix Weights

`medicare_silver.fact_hh_pdgm_weight` · Medicare Advantage, Part D, Medicaid · status live · 432 rows

CMS Home Health Patient-Driven Groupings Model (PDGM) case-mix table — per HIPPS code (432): clinical group + admission source/timing + comorbidity adjustment, the recalibrated case-mix WEIGHT, and the LUPA visit threshold. Sourced from the CMS Home Health PPS Case-Mix Weights zip (clean XLSX) and anchor-VALIDATED (HIPPS 1FC11 = 1.0804). Reprices HH 30-day periods for the 23k+ HHAs we roster (dim_hha): payment ~= 30-day base rate x recalibrated_weight x wage index. CY2026 live. Third full non-acute repricer.

**Grain.** One row per (calendar_year, HIPPS) — recalibrated PDGM case-mix weight + LUPA threshold.

| column | type | meaning |
|---|---|---|
| calendar_year | int |  |
| hipps | string |  |
| clinical_group_timing | string |  |
| admission_source_timing | string |  |
| comorbidity_adjustment | string |  |
| recalibrated_weight | double |  |
| lupa_threshold | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_hh_pdgm_weight WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_hh_pdgm_weight")` first.