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Federal FY 2017 Revised Hospice Rates for 10/01/16 – 09/30/17

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.