CMS is providing notifications to Home Health Agencies that were determined to be out of compliance with Home Health Quality Reporting Program (HH QRP) requirements, which will affect their CY 2020 Annual Payment Update (APU). Non-compliance notifications are in the process of being mailed by the Medicare Administrative Contractors (MACs) and will be placed into agency CASPER folders in QIES on October 1, 2019. Home Health Agencies that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 local time, November 1, 2019. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification and on the Home Health Quality Reporting Reconsiderations and Exception & Extension page.