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HHS/CMS RIN: 0938-AT00 Publication ID: Fall 2016 
Title: ●FY 2018 Hospice Rate Update (CMS-1675-P) 

This annual proposed rule would update the hospice payment rates and the wage index for fiscal year 2018.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: Undetermined 
CFR Citation: 42 CFR 418   
Legal Authority: 42 U.S.C. 1302   
Legal Deadline:
Action Source Description Date
Final  Statutory    08/01/2017 

Statement of Need:

We are required to annually issue the hospice wage index based on the most current available CMS hospital wage data, including any changes to the definitions of Core-Based Statistical Areas (CBSAs) or previously used Metropolitan Statistical Areas (MSAs).

Summary of the Legal Basis:

This rule proposes updates to the hospice payment rates for fiscal year as required under section 1814(i) of the Social Security Act (the Act). This rule also proposes new quality measures and provides an update on the hospice quality reporting program (HQRP) consistent with the requirements of section 1814(i)(5) of the Act, as added by section 3004(c) of the Affordable Care Act.


None. This is a statutory requirement.

Anticipated Costs and Benefits:

Total expenditures will be adjusted for FY 2018.


If this regulation is not published timely, Hospice services will not be paid appropriately beginning October 1, 2017.

Action Date FR Cite
NPRM  04/00/2017 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Hillary Loeffler
Director, Division of Home Health and Hospice
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-07-22, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0456