FY 2005 Hospice Payment Rates, Cap & Wage Index

Home Provider Part A Medicare Areas Audit and Reimbursement

In accordance with §42 CFR 418.306(a)(b), Internet Only Manual(IOM), pub 100.04, Medicare Claims Processing Manual, chapter 11, Processing Hospice Claims, section 30.2.

FY 2005 Hospice Payment Rates

The FY2005 hospice payment rates are effective for care and services furnished on or after October 1, 2004 through September 30, 2005.

Code Description Rate Wage Component
Subject to Index
Non-Weighted Amount
651 Routine Home Care $121.98 $83.81 $38.17
652 Continuous Home Care
Full rate =
24 hours of
care/$29.66
hourly rate
$711.92 $489.16 $222.76
655 Inpatient Respite Care $126.18 $68.30 $57.88
656 General Inpatient Care $542.61 $347.32 $195.29

Hospice Cap

Hospice Cap is updated annually in accordance with §1814(i)(2)(B) of the Act. The latest hospice cap amount for the cap year ending October 31, 2004 is $19,635.97. More information to the hospice cap is found in the IOM, pub 100.04 – Claims Processing Manual, ch. 11, Processing Hospice Claims, section 80.2.

Page Last Updated: Tuesday, 15-Jul-2008 10:37:32 CDT