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FY2019 Hospice Medicare and Medicaid Base Rates at a Glance

Posted on Sunday, September 9, 2018 8:27 PM

Starting October 1, 2018, the hospice payment rate will increase by 1.8%.

Below are the new payments:

Table 1:  FY 2019 Medicare Hospice Payment Rates for Hospices that Submit the Required Quality Data*

Code

Description

FY 2019 Payment Rate

Labor Share

Non-Labor Share

651

Routine Home Care (days 1-60)

$196.25

$134.84

$61.41

651

Routine Home Care (days 61+)

$154.21

$105.96

$48.25

652

Continuous Home Care Full Rate = 24 hours of care Hourly rate=$41.56

$997.38

$685.30

$312.08

655

Inpatient Respite Care

$176.01

$95.27

$80.74

656

General Inpatient Care

$758.07

$485.24

$272.83

*Failure to meet quality reporting requirements will result in a 2-percentage point reduction in payments

Table 2: FY2018 Medicaid Hospice Payment Rates by Level of Care*

Description

FY2019 Payment Rate

Labor Share

Non-Labor Share

Routine Home Care (days 1- 60)

$196.50

$135.02

$61.48

Routine Home Care (days 61+)

$154.41

$106.10

$48.31

Service Intensity Add-On

$41.57

$28.57

$13.00

Continuous Home Care

$997.77 Full Rate = 24 hrs of care; $41.57 hourly rate

$685.57

$312.20

Inpatient Respite Care

$185.27

$100.29

$84.98

General Inpatient Care

$758.07

$485.24

$272.83

*Failure to meet quality reporting requirements will result in a 2-percentage point reduction in payments


About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

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