42 C.F.R. § 484.225 Annual update of the unadjusted national prospective 60-day episode payment rate.
Title 42 - Public Health
(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]
Title 42: Public Health
PART 484—HOME HEALTH SERVICES
Subpart E—Prospective Payment System for Home Health Agencies
§ 484.225 Annual update of the unadjusted national prospective 60-day episode payment rate.
