The Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1773-F) that updates Medicare hospice payments wage index, quality reporting programs, and policies for Fiscal Year (FY) 2023 in accordance with existing statutory and regulatory requirements. Here’s a summary of the key provisions, which are effective October 1, 2022:

  • Routine annual rate setting changes resulting in a 3.8% increase in payments for FY 2023 (an estimated increase of $825 million in payments from FY 2022).
  • The hospice statutory aggregate cap amount for FY 2023 is $32,486.92.
  • Permanent 5% cap on negative wage index changes
  • Hospice Quality Reporting Program (HQRP) updates, including the new Hospice Outcomes and Patient Evaluation Tool, the Consumer Assessment of Healthcare Providers and Systems hospice survey, quality measures for FY 2023, and a summary of public comments from the request for information to inform future efforts related to HQRP health equity

Source: U.S. Centers for Medicare & Medicaid Services (CMS)

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