The latest version of home health PPS Grouper software is now ready for download ahead of its Oct. 1 implementation. The October 2023 release of the HH PPS Grouper software (v04.2.23) includes a number of diagnosis code changes, including “unacceptable principal diagnosis (pdx) changes” and “unspecified principal diagnosis (pdx) changes,” the Centers for Medicare & Medicaid Services says at www. cms.gov/medicare/payment/prospective-payment-systems/ home-health/home-health-grouper-software.