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TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
Chapter 11
Addendum A (FY 2021)
Hospice Care Rates - FY 2021
Revision:  C-51, December 18, 2020
The payment rates were increased by the market basket update of 2.4%.
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, 2020, through September 30, 2021. The hospice rates applicable to the above period are:
Revenue Code
FY 2021 Payment Rate
Labor Share
Non-Labor share
RHC (days 1-60)
RHC (days 61+)
Continuous Home Care (CHC) Full Rate = 24 hours of care = $59.68 FY 2021 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 2021 cap year is $30,683.93.
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