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HHS/CMS

RIN: 0938-AT00

Publication ID: Fall 2016

Title: ●FY 2018 Hospice Rate Update (CMS-1675-P)
Abstract: 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.

Alternatives:

None. This is a statutory requirement.

Anticipated Costs and Benefits:

Total expenditures will be adjusted for FY 2018.

Risks:

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

Timetable:

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 Email: hillary.loeffler@cms.hhs.gov