Hospice Payment Rates Caps

October 15, 2012

The Centers for Medicare and Medicaid Services (CMS) has released the caps for Medicaid hospice payment rates for the Federal Fiscal Year 2013. The rates are effective October 1, 2012 through September 20, 2013.

Reminder: Medicaid hospice payment rates vary by region. You can view the full list of hospice payment rates in the MaineCare Benefits Manual Chapter III, Section 43, Hospice Services.

The cap amounts for the new rates are listed below.

Routine Home Care - Daily Rate: $153.65 - Wage Component Subject to Index: $105.57 - Non-Weighted Amount: $48.08 Continuous Home Care - Daily Rate: $895.91, full rate is 24 hours/$37.33 hourly rate - Wage Component Subject to Index $615.58 - Non-Weighted Amount: $280.33

Inpatient Respite Care - Daily Rate: $167.07 - Wage Component Subject to Index: $90.44 - Non-Weighted Amount: $76.63

General Inpatient Care - Daily Rate: $682.59 - Wage Component Subject to Index: $436.93 - Non-Weighted Amount: $245.66