View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML
HHS/CMS RIN: 0938-AS10 Publication ID: Fall 2014 
Title: FY 2015 Hospice Payment Rate Update (CMS-1609-F) 
Abstract: This final rule will update the hospice payment rates and the wage index for fiscal year (FY) 2015 and continue the phase out of the wage index budget neutrality adjustment factor (BNAF). This rule provides an update on hospice payment reform analyses, potential definitions of "terminal illness" and "related conditions," and information on potential processes and appeals for Part D payment for drugs while beneficiaries are under a hospice election. This rule will specify timeframes for filing the notice of election and the notice of termination/revocation; add the attending physician to the hospice election form and require hospices to document changes to the attending physician; require hospices to complete their hospice aggregate cap determinations within 5 months after the cap year ends, and remit any overpayments; and update the hospice quality reporting program. In addition, this rule will provide guidance on determining hospice eligibility, information on the delay in the implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), and will further clarify how hospices are to report diagnoses on hospice claims. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 418    42 CFR 405   
Legal Authority: 42 USC 1302    42 USC 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory    08/01/2014 
Timetable:
Action Date FR Cite
NPRM  05/08/2014  79 FR 26537   
NPRM Comment Period End  07/01/2014 
Final Action  08/22/2014  79 FR 50451   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Katherine Lucas
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-05-27, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-7723
Email: katherine.lucas@cms.hhs.gov