Friday, July 8, 2016

Proposed Home Health LUPA Payment Rates 2017

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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