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Elizabeth M. Whitehorn, Director

Hospice FY 13 Federal Rates

Federal FY 2013 Revised Hospice Rates (10/1/12-9/30/13)

Illinois county
 
CBSA Code
 
Wage Index
 
Adams 14 0.8655
Alexander 16020 0.8908
Bond 41180 0.9414
Boone 40420 1.0208
Brown 14 0.8655
Bureau 14 0.8655
Calhoun 41180 0.9414
Carroll 14 0.8655
Cass 14 0.8655
Champaign 16580 1.0159
Christian 14 0.8655
Clark 14 0.8655
Clay 14 0.8655
Clinton 41180 0.9414
Coles 14 0.8655
Cook 16974 1.0888
Crawford 14 0.8655
Cumberland 14 0.8655
DeKalb 16974 1.0888
DeWitt 14 0.8655
Douglas 14 0.8655
DuPage 16974 1.0888
Edgar 14 0.8655
Edwards 14 0.8655
Effingham 14 0.8655
Fayette 14 0.8655
Ford 16580 1.0159
Franklin 14 0.8655
Fulton 14 0.8655
Gallatin 14 0.8655
Greene 14 0.8655
Grundy 16974 1.0888
Hamilton 14 0.8655
Hancock 14 0.8655
Hardin 14 0.8655
Henderson 14 0.8655
Henry 19340 0.9302
Iroquois 14 0.8655
Jackson 14 0.8655
Jasper 14 0.8655
Jefferson 14 0.8655
Jersey 41180 0.9414
Jo Daviess 14 0.8655
Johnson 14 0.8655
Kane 16974 1.0888
Kankakee 28100 1.0074
Kendall 16974 1.0888
Knox 14 0.8655
LaSalle 14 0.8655
Lake 29404 1.0591
Lawrence 14 0.8655
Lee 14 0.8655
Livingston 14 0.8655
Logan 14 0.8655
Macon 19500 0.8226
Macoupin 41180 0.9414
Madison 41180 0.9414
Marion 14 0.8655
Marshall 37900 0.9070
Mason 14 0.8655
Massac 14 0.8655
McDonough 14 0.8655
McHenry 16974 1.0888
McLean 14060 0.9735
Menard 44100 0.9202
Mercer 19340 0.9302
Monroe 41180 0.9414
Montgomery 14 0.8655
Morgan 14 0.8655
Moultrie 14 0.8655
Ogle 14 0.8655
Peoria 37900 0.9070
Perry 14 0.8655
Piatt 16580 1.0159
Pike 14 0.8655
Pope 14 0.8655
Pulaski 14 0.8655
Putnam 14 0.8655
Randolph 14 0.8655
Richland 14 0.8655
Rock Island 19340 0.9302
Saline 14 0.8655
Sangamon 44100 0.9202
Schuyler 14 0.8655
Scott 14 0.8655
Shelby 14 0.8655
St. Clair 41180 0.9414
Stark 37900 0.9070
Stephenson 14 0.8655
Tazewell 37900 0.9070
Union 14 0.8655
Vermilion 19180 1.0099
Wabash 14 0.8655
Warren 14 0.8655
Washington 14 0.8655
Wayne 14 0.8655
White 14 0.8655
Whiteside 14 0.8655
Will 16974 1.0888
Williamson 14 0.8655
Winnebago 40420 1.0208
Woodford 37900 0.9070

Calculation of Revised FFY 2013 Hospice Care Rates Rates Effective 10/01/12 - 09/30/13

Revenue Code Wage Component Unweighted Amount
651 (Routine Home Care) $105.57 $48.08
652 (Continuous Home Care) $615.58 $280.33
655 (Inpatient Respite Care) $90.44 $76.63
656 (General Inpatient Care) $436.93 $245.66

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 Unweighted Amount equals the Daily Rate.

The payment amount for continuous home care is calculated as follows:

The Base Rate plus the Unweighted Amount equals the Daily Rate.

The Daily Rate divided by 96 quarter-hour units equals the Quarter-Hour Rate.

Examples

Routine Home Care (651)

Inpatient Respite Care (655)
CBSA Code 14060 has an associated Wage Index of 0.9735. CBSA Code 14060 has an associated Wage Index of 0.9735.
0.9735 multiplied by the Wage Component of $105.57 equals a Base Rate of $102.77. 0.9735 multiplied by the Wage Component of $90.44 equals a Base Rate of $88.04.
The Base Rate of $102.77 plus the Unweighted Amount of $48.08 equals the Daily Rate of $150.85. The Base Rate of $88.04 plus the Unweighted Amount of $76.63 equals the Daily Rate of $164.67.

Continuous Home Care (652)

General Inpatient Care (656)
CBSA Code 14060 has an associated Wage Index of 0.9735. CBSA Code 14060 has an associated Wage Index of 0.9735.
0.9735 multiplied by the Wage Component of $615.58 equals the Base Rate of $599.27. 0.9735 multiplied by the Wage Component of $436.93 equals the Base Rate of $425.35.
The Base Rate of $599.27 plus the Unweighted Amount of $280.33 equals the Daily Rate of $879.60.  The Base Rate of $425.35 plus the Unweighted Amount of $245.66 equals the Daily Rate of $671.01.
The Daily Rate of $879.60 divided by 96 Quarter-Hour units in a day equals $9.16 per Quarter-Hour unit.