HHS Notice of Benefit and Payment Parameters for 2021 Final Rule

QUESTION:

What are the HHS-HCC categories for 2021 and where can I find the risk adjustment factors? What ICD-10 codes map to an HHS-HCC for 2021?

ANSWER:

• Click here to download the ICD-10 to HHS-HCC Mappings for payment year 2021.

• Click here to download the HCC Coefficients for payment year 2021.

Links to Important Resources

Regulations and Guidance – Includes model software

• https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/index

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REGTAP Registration for Technical Assistance Portal

• https://www.regtap.info/

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