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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.
|