[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: 42CFR484.230]



[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. 484.230  Methodology used for the calculation of the low-utilization 

payment adjustment.



    An episode with four or fewer visits is paid the national per-visit 

amount by discipline updated annually by the applicable market basket 

for each visit type. The national per-visit amount is determined by 

using cost data set forth in Sec. 484.210(a) and adjusting by the 

appropriate wage index based on the site of service for the beneficiary.