Implementation of the Hospice Payment Reforms
Change Request (CR) 9201 implements service intensity add-on payments for hospice social worker and nursing visits provided during the last 7 days of life when provided during routine home care. CR9201 also will implement two routine home care rates, paying a higher rate in the first 60 days of a hospice election and a lower rate for days 61 and later. CR 9201 revises Sections 20.1.2, 30.1, and 30.2 of Chapter 11 in “Medicare Claims Processing Manual.” The CR also creates a new section, 30.2.2, “Service Intensity Add-on (SIA) Payments” in that manual. The new and revised sections are attached to CR9201.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 14, 2015
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