FY2018 Hospice Medicaid Rates Announced

This week, CMS issued the FY2018 rates for the Hospice Medicaid benefit. Click here to see the official CMS notification of rates. The national rates are listed in the CMS notification memo.  The same wage index values apply to the Medicaid rates and the Medicare rates.  NHPCO has prepared the FY2018 Medicaid Hospice state/county rate chart, for download here. Each state has a tab across the bottom of the spreadsheet for ease in rate look up.  If you are interested in the calculations, look at the tab called “Wage-Nonwage Components” for detail on how the rates are calculated.

NOTE:  The FY2018 Medicaid rates are slightly different that the FY2018 Medicare rates.  Please ensure that billing staff note the difference.

Two issues of note with the FY2018 Medicaid rates.

  1. There is no allowance in the Medicaid hospice rates for the co-pay for respite care.
  2. There is no allowance in the Medicaid hospice rates for the co-pay for drugs.

Here are the national rates for hospices who HAVE submitted the required quality data:

Description Daily Rate Wage Component Non-Weighted Amount

Routine Home
Care (Days 1-60)

$193.03

$132.63

$60.40

Routine Home
Care (Days 61+)

$151.61

$104.17

$47.44

Service Intensity Add-On

$40.70

$27.97

$12.73

Continuous Home Care

$976.80

Full Rate =
24 hrs of care/$40.70 hourly rate

$671.16

$305.64

Inpatient Respite Care

$181.87

$98.45

$83.42

General Inpatient Care

$743.55

$475.95

$267.60

Below are the national rates for hospices who HAVE NOT submitted the required quality data:

Description Daily Rate Wage Component Non-Weighted Amount

Routine Home
Care (Days 1-60)

$189.22

$130.01

$59.21

Routine Home
Care (Days 61+)

$148.60

$102.10

$46.50

Service Intensity Add-On

$39.89

$27.41

$12.48

Continuous Home Care

$957.45

Full Rate =
24 hrs of care/$39.89 hourly rate

$657.87

$299.58

Inpatient Respite Care

$178.27

$96.50

$81.77

General Inpatient Care

$728.83

$466.52

$262.31

Any questions on the rates should be directed to regulatory@nhpco.org with Medicaid rates in the subject line.

Leave a Comment