Back to Top Skip to main content the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
Chapter 11
Addendum A (FY 2020)
Hospice Care Rates - FY 2020
Revision:  C-44, December 13, 2019
The payment rates were increased by the market basket update of 2.6%.
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, 2019, through September 30, 2020. The hospice rates applicable to the above period are:
Revenue Code
FY 2020 Payment Rate
Labor Share
Non-Labor share
RHC (days 1-60)
RHC (days 61+)
Continuous Home Care (CHC) Full Rate = 24 hours of care = $58.15 FY 2020 hourly rate
Inpatient Respite Care (IRC)
General Inpatient Care (GIP)
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 hospice cap amount for the 2020 cap year is $29,964.78.
Note:  Significant increases in the FY2020 CHC, IRC, and GIP payment rates and slight decreases in the RHC payment rates are the result of the Centers for Medicare & Medicaid Services final rule (84 FR 38484) which rebased the hospice payment rates in a budget neutral manner to more accurately align Medicare payments with the costs of providing care. For further information, the final rule may be found at
- END -

Utility Navigation Links

DoD Seal is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.


DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.