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
|
$141.54
|
$138.77
|
|
PT
|
$154.72
|
$151.69
|
|
OT
|
$155.77
|
$152.73
|
|
SP
|
$168.16
|
$164.87
|
|
MSW
|
$226.87
|
$222.43
|
|
HHA
|
$64.09
|
$62.84
|
|
Discipline
|
Rural Agencies
Submitting
Quality Data
|
Rural Agencies
Not Submitted
Quality Data
|
|
SN
|
$145.79
|
$142.93
|
|
PT
|
$159.36
|
$156.24
|
|
OT
|
$160.44
|
$157.31
|
|
SP
|
$173.20
|
$169.82
|
|
MSW
|
$233.68
|
$229.10
|
|
HHA
|
$66.01
|
$64.73
|
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
|
$261.66
|
$256.04
|
|
PT
|
$258.38
|
$253.32
|
|
SP
|
$273.53
|
$268.18
|
|
Discipline
|
Rural Agencies
Submitting
Quality Data
|
Rural Agencies
Not Submitted
Quality Data
|
|
SN
|
$269.00
|
$263.72
|
|
PT
|
$266.13
|
$260.92
|
|
SP
|
$281.72
|
$276.23
|
To view the rule
please go to:
https://www.gpo.gov/fdsys/pkg/FR-2016-07-05/pdf/2016-15448.pdf
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