[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR484.220]



[Page 606]

 

                         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.  484.220  Calculation of the adjusted national prospective 60-day 



episode payment rate for case-mix and area wage levels.



    CMS adjusts the national prospective 60-day episode payment rate to 

account for--

    (a) HHA case-mix using a case-mix index to explain the relative 

resource utilization of different patients; and

    (b) Geographic differences in wage levels using an appropriate wage 

index based on the site of service of the beneficiary.



[[Page 607]]