Proposed Home Health Episode Payment Rates 2016 - 7/9/2015

Listed below are the National Standardized 60-Day Episode Payment Amounts.  Remember these rates will be adjusted for each home health agencies wage index and the individual Medicare patients case mix.

Urban Agencies that submit quality data - $2,938.37

Urban Agencies that do not submit quality data - $2.880.92

Rural Agencies that submit quality data - $3,026.52

Rural Agencies that do not submit quality data - $2,967.35

Listed below are Non Routine Supply Payment Rates by Severity Level

Severity Level	Urban Agencies Submitting Quality Data	Urban Agencies Not Submitted Quality Data
1	$14.28	$14.00
2	$51.55	$50.54
3	$141.36	$138.58
4	$210.02	$205.89
5	$323.86	$317.50
6	$557.00	$546.06

Severity Level	Rural Agencies Submitting Quality Data	Rural Agencies Not Submitted Quality Data
1	$14.71	$14.42
2	$53.10	$52.06
3	$145.61	$142.75
4	$216.33	$212.08
5	$333.59	$327.04
6	$573.74	$562.48

We will discuss the Proposed Home Health PPS Rules and Rates and the Home Health Value-Based Purchasing Model  in detail in two of our sessions at our Cutting Edge Home Health Leadership Summit that will be held at the Wailea Beach Marriott Resort and Spa on August 12^th to 14^th.   We have spoken to the hotel and extended the cutoff for reservation to July 9^th.  This will be the last extension given by the hotel.  Reservations made after this date will be based on hotel availability any could be at a higher rate.  To help home health agencies with the cost of registration we will extend the $1,099 for the first person and $949 for additional person’s registration until July 9^th.   We highly recommend you attend this seminar.  It will give you an opportunity to prepare for the drastic changes that will occur for the home health industry.

To view the draft form of the rule please go to:

https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-16790.pdf

The rule will be published in the Federal Register on July 10^th.  At that time you will need a new link which we will publish in a future email alert.