Federal FY 2017 Revised Hospice Rates for 10/01/16 – 09/30/17
Wage Index Values for All Illinois Counties
Illinois County |
CBSA Code |
Wage Index |
Adams |
14 |
0.8488 |
Alexander |
16020 |
0.8628 |
Bond |
41180 |
0.9256 |
Boone |
40420 |
0.9898 |
Brown |
14 |
0.8488 |
Bureau |
14 |
0.8488 |
Calhoun |
41180 |
0.9256 |
Carroll |
14 |
0.8488 |
Cass |
14 |
0.8488 |
Champaign |
16580 |
0.9948 |
Christian |
14 |
0.8488 |
Clark |
14 |
0.8488 |
Clay |
14 |
0.8488 |
Clinton |
41180 |
0.9256 |
Coles |
14 |
0.8488 |
Cook |
16974 |
1.0401 |
Crawford |
14 |
0.8488 |
Cumberland |
14 |
0.8488 |
DeKalb |
20994 |
1.0306 |
DeWitt |
14010 |
0.9086 |
Douglas |
14 |
0.8488 |
DuPage |
16974 |
1.0401 |
Edgar |
14 |
0.8488 |
Edwards |
14 |
0.8488 |
Effingham |
14 |
0.8488 |
Fayette |
14 |
0.8488 |
Ford |
16580 |
0.9948 |
Franklin |
14 |
0.8488 |
Fulton |
14 |
0.8488 |
Gallatin |
14 |
0.8488 |
Greene |
14 |
0.8488 |
Grundy |
16974 |
1.0401 |
Hamilton |
14 |
0.8488 |
Hancock |
14 |
0.8488 |
Hardin |
14 |
0.8488 |
Henderson |
14 |
0.8488 |
Henry |
19340 |
0.9730 |
Iroquois |
14 |
0.8488 |
Jackson |
16060 |
0.8424 |
Jasper |
14 |
0.8488 |
Jefferson |
14 |
0.8488 |
Jersey |
41180 |
0.9256 |
Jo Daviess |
14 |
0.8488 |
Johnson |
14 |
0.8488 |
Kane |
20994 |
1.0306 |
Kankakee |
28100 |
0.8751 |
Kendall |
16974 |
1.0401 |
Knox |
14 |
0.8488 |
Lake |
29404 |
1.0376 |
LaSalle |
14 |
0.8488 |
Lawrence |
14 |
0.8488 |
Lee |
14 |
0.8488 |
Livingston |
14 |
0.8488 |
Logan |
14 |
0.8488 |
Macon |
19500 |
0.8188 |
Macoupin |
41180 |
0.9256 |
Madison |
41180 |
0.9256 |
Marion |
14 |
0.8488 |
Marshall |
37900 |
0.8749 |
Mason |
14 |
0.8488 |
Massac |
14 |
0.8488 |
McDonough |
14 |
0.8488 |
McHenry |
16974 |
1.0401 |
McLean |
14010 |
0.9086 |
Menard |
44100 |
0.9081 |
Mercer |
19340 |
0.9730 |
Monroe |
41180 |
0.9256 |
Montgomery |
14 |
0.8488 |
Morgan |
14 |
0.8488 |
Moultrie |
14 |
0.8488 |
Ogle |
14 |
0.8488 |
Peoria |
37900 |
0.8749 |
Perry |
14 |
0.8488 |
Piatt |
16580 |
0.9948 |
Pike |
14 |
0.8488 |
Pope |
14 |
0.8488 |
Pulaski |
14 |
0.8488 |
Putnam |
14 |
0.8488 |
Randolph |
14 |
0.8488 |
Richland |
14 |
0.8488 |
Rock Island |
19340 |
0.9730 |
Saline |
14 |
0.8488 |
Sangamon |
44100 |
0.9081 |
Schuyler |
14 |
0.8488 |
Scott |
14 |
0.8488 |
Shelby |
14 |
0.8488 |
St. Clair |
41180 |
0.9256 |
Stark |
37900 |
0.8749 |
Stephenson |
14 |
0.8488 |
Tazewell |
37900 |
0.8749 |
Union |
14 |
0.8488 |
Vermilion |
19180 |
0.9588 |
Wabash |
14 |
0.8488 |
Warren |
14 |
0.8488 |
Washington |
14 |
0.8488 |
Wayne |
14 |
0.8488 |
White |
14 |
0.8488 |
Whiteside |
14 |
0.8488 |
Will |
16974 |
1.0401 |
Williamson |
16060 |
0.8424 |
Winnebago |
40420 |
0.9898 |
Woodford |
37900 |
0.8749 |
Calculation of FFY 2017 Hospice Care Rates
Rates Effective 10/01/16 – 09/30/17
Revenue Code |
Wage Component |
Non-weighted Amount |
0651 (Routine Home Care Days 1-60) |
$131.10 |
$59.70 |
0651 (Routine Home Care Days 61+) |
$103.07 |
$46.94 |
055X or 056X (Service Intensity Add-On) |
$27.63 |
$12.58 |
0652 (Continuous Home Care) |
$663.06 |
$301.95 |
0655 (Inpatient Respite Care) |
$97.42 |
$82.55 |
0656 (General Inpatient Care) |
$470.44 |
$264.50 |
The payment amounts for routine home care, inpatient respite care, and general inpatient care are calculated as follows:
The CBSA Wage Index multiplied by the Wage Component equals the Base Rate.
The Base Rate plus the Non-weighted Amount equals the Daily Rate.
The payment amount for service intensity add-on is calculated as follows:
The CBSA Wage Index multiplied by the Wage Component equals the Base Rate.
The Base Rate plus the Non-weighted Amount equals the Hourly Rate.
The Hourly Rate divided by four equals the Quarter-Hour Rate.
The payment amount for continuous home care is calculated as follows:
The CBSA Wage Index multiplied by the Wage Component equals the Base Rate.
The Base Rate plus the Non-weighted Amount equals the Daily Rate.
The Daily Rate divided by 96 quarter-hour units equals the Quarter-Hour Rate.
Examples
Routine Home Care (0651) Days 1-60
|
Routine Home Care (0651) Days 61+ |
CBSA Code 44100 has an associated Wage Index of 0.9081. |
CBSA Code 44100 has an associated Wage Index of 0.9081. |
|
|
0.9081 multiplied by the Wage Component of $131.10 equals a Base Rate of $119.05. |
0.9081 multiplied by the Wage Component of $103.07 equals a Base Rate of $93.60. |
|
|
The Base Rate of $119.05 plus the Non-weighted Amount of $59.70 equals the Daily Rate of $178.75. |
The Base Rate of $93.60 plus the Non-weighted Amount of $46.94 equals the Daily Rate of $140.54. |
Service Intensity Add-On (055X or 056X) |
Continuous Home Care (0652) |
CBSA Code 44100 has an associated Wage Index of 0.9081. |
CBSA Code 44100 has an associated Wage Index of 0.9081 |
|
|
0.9081 multiplied by the Wage Component of $27.63 equals the Base Rate of $25.09. |
0.9081 multiplied by the Wage Component of $663.06 equals the Base Rate of $602.12. |
|
|
The Base Rate of $25.09 plus the Non-weighted Amount of $12.58 equals the Hourly Rate of $37.67. |
The Base Rate of $602.12 plus the Non-weighted Amount of $301.95 equals the Daily Rate of $904.07. |
|
|
The Hourly Rate of $37.67 divided by four equals $9.42 per Quarter-Hour unit. |
The Daily Rate of $904.07 divided by 96 Quarter-Hour units in a day equals $9.42 per Quarter-Hour unit. |
Inpatient Respite Care (0655)
|
General Inpatient Care (0656) |
CBSA Code 44100 has an associated Wage Index of 0.9081. |
CBSA Code 44100 has an associated Wage Index of 0.9081. |
|
|
0.9081 multiplied by the Wage Component of $97.42 equals a Base Rate of $88.47. |
0.9081 multiplied by the Wage Component of $470.44 equals the Base Rate of $427.21. |
|
|
The Base Rate of $88.47 plus the Non-weighted Amount of $82.55 equals the Daily Rate of $171.02. |
The Base Rate of $427.21 plus the Non-weighted Amount of $264.50 equals the Daily Rate of $691.71. |