Hospice
Chapter 11
Addendum A
(FY 2019)
Hospice Care
Rates - FY 2019
Revision: C-37,
June 18, 2019
The
payment rates were increased by the market basket update of 1.8%.
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, 2018, through September 30, 2019. The hospice
rates applicable to the above period are:
|
Revenue Code
|
Description
|
FY 2019 Payment
Rate
|
Labor Share
|
Non-Labor share
|
|
0651
|
RHC (days 1-60)
|
$196.25
|
$134.84
|
$61.41
|
|
0651
|
RHC (days 61+)
|
$154.21
|
$105.96
|
$48.25
|
|
0652
|
Continuous Home Care
(CHC) Full Rate =
24 hours of care = $41.56
FY 2019 hourly rate
|
$997.38
|
$685.30
|
$312.08
|
|
0655
|
Inpatient Respite Care
|
$176.01
|
$95.27
|
$80.74
|
|
0656
|
General Inpatient Care
|
$758.07
|
$485.24
|
$272.83
|
|
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 2019 cap year is $29,205.44.
|
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