CMS issued the final Medicaid Payment Rates for Hospices on September 5th 2014. They provide rates for Hospices that have submitted quality data and reduced rates for hospices that did not submit quality data. The rates must be adjusted based on location by wage index values. They also provided the Medicaid Hospice per patient cap for the year ending10/31/2014.
Table 1 Hospice Medicaid Payment Rates (Submitted Quality Data)
Description Daily Rate Wage Non-Wage
Routine Home Care $159.55 $109.63 $49.92
Continuous Home Care (24 Hr) $930.27 $639.19 $291.08
Continuous Home Care (Per Hour) $38.76 $26.63 $12.13
Inpatient Respite Care $173.48 $93.91 $79.57
General Inpatient Care $708.77 $453.68 $255.09
Table 2 Hospice Medicaid Payment Rates (Quality Data Not Submitted)
Description Daily Rate Wage Non-Wage
Routine Home Care $156.42 $107.48 $48.94
Continuous Home Care (24 Hr) $912.05 $626.67 $285.38
Continuous Home Care (Per Hour) $38.00 $26.11 $11.89
Inpatient Respite Care $170.08 $92.07 $78.01
General Inpatient Care $694.88 $444.79 $250.09
Medicaid Hospice per Patient Cap Year 11/1/2013 to 10/31/2014 is $26,725.79
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