CMS Issues FY2016 Medicaid Hospice Payment Rates

Posted on Thursday, September 10, 2015 9:00 AM

In a recent Memorandum, CMS and CHIP Services Financial Management Group has issued a notice of the minimum Medicaid Hospice payment rates that will be effective for Fiscal Year (FY) 2016. Medicaid hospice payment rates are calculated using Medicare rates for the applicable time period, although there are minor differences in the payment rates. States have the flexibility to pay hospice programs higher rates than the minimum rates set by CMS. Medicaid hospices will be paid a single rate ($162.10) for Routine Home Care (RHC) days from October 1 through December 31, 2015, after which RHC will be paid at one of two rates depending on where the day of care falls in the patient’s episode of care (days 1 – 60 and day 61 or later). Beginning January 1, 2016, Medicaid hospice programs will also provide payment for the Service Intensity Add-on (SIA). Medicaid hospice providers are subject to the Hospice Quality Reporting Program (HQRP) requirements, so failure to submit the applicable quality data will result in a 2 percentage point reduction in the hospice’s market basket update. Click here to read more.

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.

Go Back

Explore Corridor’s Solutions

Share This Story, Choose Your Platform!