Update: State Program Database → July 2025 Refresh
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July 27, 2025

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As of July 2025, the State Program Database has received a significant refresh, including the long-anticipated roll-out of the Home Health Quality Reporting Program (HH QRP) and the Medicare Physician Fee Schedule Database (MPFSDB) updates. In this article, we break down what’s new, what it means for your organization, and what steps you should take next.


1. HH QRP Data Refresh – July 2025

In April 2025, CMS re-issued preview reports ahead of the July refresh for the HH QRP. This action addressed data discrepancies in the Discharge Function quality measure, which had affected around 16% of home health providers, caused by a technical error. Corrected scores became available in iQIES, and the preview period was extended until May 21, 2025.

What to expect in July 2025:

  • The July refresh on Medicare’s Home Health Compare and the Provider Data Catalog (PDC) will include these corrections .
  • Providers are urged to finalize any additional corrections by the revised deadline to ensure accurate reporting.

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2. Medicare Physician Fee Schedule Database Update – July 2025

On July 7, 2025, CMS—with implementation by MACs like CGS—will apply the quarterly update to the MPFSDB. These updates include:

  • New and deleted procedure codes
  • Changes in procedure status and short descriptors
  • Payment policy indicator adjustments

MACs and providers will receive a 30‑day advance notice before enforcement begins. Updates will affect claims processing and reimbursement rates.

Provider Advisory:

  • Billing teams should review your MAC’s PDF attachment detailing these July changes.
  • Update internal systems to reflect new codes before July 7 to prevent denials.

3. Timeline & Next Steps

ActionDateDetails
Final Preview DeadlineMay 21, 2025Extended review window for QRP Discharge Function errors scag.ca.gov+8cms.gov+8cms.gov+8
QRP PublishJuly 2025Updated quality data will go live on Home Health Compare & PDC
MPFSDB UpdatesJuly 7, 2025Quarterly updates applied across CMS systems

Action Checklist:

  1. Review your iQIES Q4 data and correct any discrepancies.
  2. Track your MAC communications for MPFSDB updates and adjust accordingly.
  3. Train staff on procedural and payment changes to ensure compliance.

Frequently Asked Questions (FAQ)

What happened to the July 2025 QRP data?

A data error in the Discharge Function measure prompted a re-release of April preview reports. Corrections are now reflected in iQIES and will be fully implemented in the July refresh.

When will the July 2025 MPFSDB update take effect?

Changes go live on July 7, 2025, with MACs (like CGS) putting updates into action that day.

How should providers prepare?

Providers should:

  • Confirm accurate QRP measures in iQIES
  • Update billing systems with MPFSDB code changes
  • Monitor for MAC guidance and training materials


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Ensuring that your organization adapts swiftly to these July 2025 database updates—across quality reporting and payment systems—is essential for maintaining accuracy, avoiding compliance issues, and optimizing reimbursements.

Stay proactive. Prepare, review, and train now to keep your systems running smoothly through the summer refresh cycles.

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