Agencies
Services
Federal FY 2016 Revised Hospice Rates (10/01/15 - 09/30/16)
Illinois County |
CBSA Code
|
Wage Index |
|
Adams
|
14
|
0.8366
|
|
Alexander
|
16020
|
0.9094
|
|
Bond
|
41180
|
0.9366
|
|
Boone
|
40420
|
0.9768
|
|
Brown
|
14
|
0.8366
|
|
Bureau
|
14
|
0.8366
|
|
Calhoun
|
41180
|
0.9366
|
|
Carroll
|
14
|
0.8366
|
|
Cass
|
14
|
0.8366
|
|
Champaign
|
16580
|
0.9076
|
|
Christian
|
14
|
0.8366
|
|
Clark
|
14
|
0.8366
|
|
Clay
|
14
|
0.8366
|
|
Clinton
|
41180
|
0.9366
|
|
Coles
|
14
|
0.8366
|
|
Cook
|
16974
|
1.0416
|
|
Crawford
|
14
|
0.8366
|
|
Cumberland
|
14
|
0.8366
|
|
DeKalb
|
20994
|
1.0356
|
|
DeWitt
|
50029
|
0.8764
|
|
Douglas
|
14
|
0.8366
|
|
DuPage
|
16974
|
1.0416
|
|
Edgar
|
14
|
0.8366
|
|
Edwards
|
14
|
0.8366
|
|
Effingham
|
14
|
0.8366
|
|
Fayette
|
14
|
0.8366
|
|
Ford
|
16580
|
0.9076
|
|
Franklin
|
14
|
0.8366
|
|
Fulton
|
14
|
0.8366
|
|
Gallatin
|
14
|
0.8366
|
|
Greene
|
14
|
0.8366
|
|
Grundy
|
16974
|
1.0416
|
|
Hamilton
|
14
|
0.8366
|
|
Hancock
|
14
|
0.8366
|
|
Hardin
|
14
|
0.8366
|
|
Henderson
|
14
|
0.8366
|
|
Henry
|
19340
|
0.9717
|
|
Iroquois
|
14
|
0.8366
|
|
Jackson
|
16060
|
0.8343
|
|
Jasper
|
14
|
0.8366
|
|
Jefferson
|
14
|
0.8366
|
|
Jersey
|
41180
|
0.9366
|
|
Jo Daviess
|
14
|
0.8366
|
|
Johnson
|
14
|
0.8366
|
|
Kane
|
20994
|
1.0356
|
|
Kankakee
|
28100
|
0.9568
|
|
Kendall
|
16974
|
1.0416
|
|
Knox
|
14
|
0.8366
|
|
Lake
|
29404
|
1.0465
|
|
LaSalle
|
14
|
0.8366
|
|
Lawrence
|
14
|
0.8366
|
|
Lee
|
14
|
0.8366
|
|
Livingston
|
14
|
0.8366
|
|
Logan
|
14
|
0.8366
|
|
Macon
|
19500
|
0.8000
|
|
Macoupin
|
41180
|
0.9366
|
|
Madison
|
41180
|
0.9366
|
|
Marion
|
14
|
0.8366
|
|
Marshall
|
37900
|
0.8566
|
|
Mason
|
14
|
0.8366
|
|
Massac
|
14
|
0.8366
|
|
McDonough
|
14
|
0.8366
|
|
McHenry
|
16974
|
1.0416
|
|
McLean
|
50030
|
0.9165
|
|
Menard
|
44100
|
0.9119
|
|
Mercer
|
19340
|
0.9717
|
|
Monroe
|
41180
|
0.9366
|
|
Montgomery
|
14
|
0.8366
|
|
Morgan
|
14
|
0.8366
|
|
Moultrie
|
14
|
0.8366
|
|
Ogle
|
14
|
0.8366
|
|
Peoria
|
37900
|
0.8566
|
|
Perry
|
14
|
0.8366
|
|
Piatt
|
16580
|
0.9076
|
|
Pike
|
14
|
0.8366
|
|
Pope
|
14
|
0.8366
|
|
Pulaski
|
14
|
0.8366
|
|
Putnam
|
14
|
0.8366
|
|
Randolph
|
14
|
0.8366
|
|
Richland
|
14
|
0.8366
|
|
Rock Island
|
19340
|
0.9717
|
|
Saline
|
14
|
0.8366
|
|
Sangamon
|
44100
|
0.9119
|
|
Schuyler
|
14
|
0.8366
|
|
Scott
|
14
|
0.8366
|
|
Shelby
|
14
|
0.8366
|
|
St. Clair
|
41180
|
0.9366
|
|
Stark
|
37900
|
0.8566
|
|
Stephenson
|
14
|
0.8366
|
|
Tazewell
|
37900
|
0.8566
|
|
Union
|
14
|
0.8366
|
|
Vermilion
|
19180
|
0.9751
|
|
Wabash
|
14
|
0.8366
|
|
Warren
|
14
|
0.8366
|
|
Washington
|
14
|
0.8366
|
|
Wayne
|
14
|
0.8366
|
|
White
|
14
|
0.8366
|
|
Whiteside
|
14
|
0.8366
|
|
Will
|
16974
|
1.0416
|
|
Williamson
|
16060
|
0.8343
|
|
Winnebago
|
40420
|
0.9768
|
|
Woodford
|
37900
|
0.8566
|
Calculation of FFY 2016 Hospice Care Rates
Rates Effective 10/01/15 – 09/30/16
|
Revenue Code
|
Wage Component
|
Non-weighted Amount
|
|
652 (Continuous Home Care)
|
$649.42
|
$295.74
|
|
655 (Inpatient Respite Care)
|
$95.41
|
$80.85
|
|
656 (General Inpatient Care)
|
$460.94
|
$259.17
|
Rate Effective 10/01/15 – 12/31/15
|
Revenue Code
|
Wage Component
|
Non-weighted Amount
|
|
651 (Routine Home Care)
|
$111.38
|
$50.72
|
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 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)
|
Inpatient Respite Care (0655)
|
|
CBSA Code 44100 has an associated Wage Index of 0.9119.
|
CBSA Code 44100 has an associated Wage Index of 0.9119.
|
|
|
|
|
0.9119 multiplied by the Wage Component of $111.38 equals a Base Rate of $101.57.
|
0.9119 multiplied by the Wage Component of $95.41 equals a Base Rate of $87.00.
|
|
|
|
|
The Base Rate of $101.57 plus the Non-weighted Amount of $50.72 equals the Daily Rate of $152.29.
|
The Base Rate of $87.00 plus the Non-weighted Amount of $80.85 equals the Daily Rate of $167.85.
|
|
Continuous Home Care (0652)
|
General Inpatient Care (0656)
|
|
CBSA Code 44100 has an associated Wage Index of 0.9119.
|
CBSA Code 44100 has an associated Wage Index of 0.9119.
|
|
|
|
|
0.9119 multiplied by the Wage Component of $649.42 equals the Base Rate of $592.21.
|
0.9119 multiplied by the Wage Component of $460.94 equals the Base Rate of $420.33.
|
|
|
|
|
The Base Rate of $592.21 plus the Non-weighted Amount of $295.74 equals the Daily Rate of $887.95.
|
The Base Rate of $420.33 plus the Non-weighted Amount of $259.17 equals the Daily Rate of $679.50.
|
|
|
|
|
The Daily Rate of $887.95 divided by 96 Quarter-Hour units in a day equals $9.25 per Quarter-Hour unit.
|
|