Proposed Home Health LUPA Payment Rates 2016 - 7/10/215

Home Health episodes that have four or less visits are paid a LUPA rate instead of an episode rate.  Listed below are the National LUPA Payment Rates.  Remember these rates will be adjusted for each home health agencies wage index.

Listed below are the LUPA Payment Rates Per Discipline

Discipline	Urban Agencies Submitting Quality Data	Urban Agencies Not Submitted Quality Data
SN	$134.90	$132.26
PT	$147.47	$144.59
OT	$148.47	$145.57
SP	$160.27	$157.14
MSW	$216.23	$212.01
HHA	$61.09	$59.89

Discipline	Rural Agencies Submitting Quality Data	Rural Agencies Not Submitted Quality Data
SN	$138.95	$136.26
PT	$151.89	$148.93
OT	$152.92	$149.94
SP	$165.08	$161.85
MSW	$222.72	$218.37
HHA	$62.92	$61.69

LUPA Episodes are paid a higher rate for the first visit of the episode.  Listed below are the payment rates for the first visit of LUPA episodes

Discipline	Urban Agencies Submitting Quality Data	Urban Agencies Not Submitted Quality Data
SN	$248.90	$244.03
PT	$246.27	$241.47
SP	$260.70	$255.60

Discipline	Rural Agencies Submitting Quality Data	Rural Agencies Not Submitted Quality Data
SN	$256.38	$251.41
PT	$253.66	$248.71
SP	$268.52	$263.27

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 rule please go to:

http://www.gpo.gov/fdsys/pkg/FR-2015-07-10/pdf/2015-16790.pdf