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TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
Chapter 11
Addendum A (FY 2017)
Hospice Care Rates - FY 2017
Revision:  C-2, May 17, 2017
The FY 2017 payment rates were increased by 2.1%. The 2.1% hospice payment update is equivalent to the FY 2017 hospital market basket update (2.7%) less a productivity adjustment of 0.3%, less 0.3 percentage point.
Effective January 1, 2016, two separate payment rates will be applicable for Routine Home Care (RHC). A higher RHC rate for days 1 through 60, and a lower RHC rate for days 61 and beyond of a hospice episode of care, will replace the single rate.
The following national hospice rates are for care and services provided on or after October 1, 2016, through September 30, 2017. The hospice rates applicable to the above period are:
Revenue Code
FY 2017 Payment Rate
Labor Share
Non-Labor share
RHC (days 1-60)
RHC (days 61+)
Continuous Home Care (CHC) Full Rate = 24 hours of care = $40.19 FY 2017 hourly rate
Inpatient Respite Care
General Inpatient Care
Allow the provider to split bills if they span the effective date. Use the previous year’s rates if the provider chooses not to split the bill.
Hospice Cap Amount
The latest hospice cap amount for the cap year ending October 31, 2016, is $28,404.99.
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