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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

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