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
|
Description
|
FY 2021
Payment Rate
|
Labor
Share
|
Non-Labor
share
|
|
0651
|
RHC (days 1-60)
|
$199.25
|
$136.90
|
$62.35
|
|
0651
|
RHC (days 61+)
|
$157.49
|
$108.21
|
$49.28
|
|
0652
|
Continuous Home Care (CHC)
Full Rate =
24 hours of care = $59.68
FY 2021 hourly rate
|
$1,432.41
|
$984.21
|
$448.20
|
|
0655
|
Inpatient Respite Care (IRC)
|
$461.09
|
$249.59
|
$211.50
|
|
0656
|
General Inpatient Care (GIP)
|
$1,045.66
|
$669.33
|
$376.33
|
|
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.
|
|
|