[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR484.225]



[Page 592]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 484_HOME HEALTH SERVICES--Table of Contents

 

      Subpart E_Prospective Payment System for Home Health Agencies

 

Sec. 484.225  Annual update of the unadjusted national prospective 60-day 

episode payment rate.



    (a) CMS updates the unadjusted national 60-day episode payment rate 

on a fiscal year basis.

    (b) For fiscal year 2001, the unadjusted national 60-day episode 

payment rate is adjusted using the latest available home health market 

basket index factors.

    (c) For fiscal years 2002 and 2003, the unadjusted national 

prospective 60-day episode payment rate is updated by a factor equal to 

the applicable home health market basket minus 1.1 percentage points.

    (d) For the last calendar quarter of 2003 and the first calendar 

quarter of 2004, the unadjusted national prospective 60-day episode 

payment rate is equal to the rate from the previous fiscal year (FY 

2003) increased by the applicable home health market basket index 

amount.

    (e) For the last the 3 calendar quarters of 2004, the unadjusted 

national prospective 60-day episode payment rate is equal to the rate 

from the previous fiscal year (FY 2003) increased by the applicable home 

health market basket minus 0.8 percentage points.

    (f) For each calendar year of 2005 and 2006, the unadjusted national 

prospective 60-day episode payment rate is equal to the rate from the 

previous calendar year, increased by the applicable home health market 

basket minus 0.8 percentage points.

    (g) For 2007 and subsequent calendar years, the unadjusted national 

rate is equal to the rate for the previous calendar year increased by 

the applicable home health market basket index amount.



[65 FR 41212, July 3, 2000, as amended at 69 FR 62138, Oct. 22, 2004]