2018 Hospice Cap Filing Due February 28, 2019

January 17, 2019

The due date to file the Self-Determined Hospice Aggregate Cap for the Cap Year of 2018 is February 28, 2019. This due date was established with the Hospice Wage Index and Payment Rate Update Final Rule ("the Rule"), which finalized the alignment of the hospice cap accounting year with the federal fiscal year.

Inpatient Cap Calculation: For 2018, CMS will calculate the percentage of all hospice days that were provided as inpatient days (GIP care and Respite care) from October 1, 2017 through September 30, 2017.

2018 Hospice Cap Amount: $28,689.04

Self-Determined Hospice Aggregate Cap Due Date (Cap Year 2018) - February 28, 2019

  • Beneficiary Count Dates Cap Year 2018 and Later:
    • Proportional (Fully Pro-Rated) 10/01/17 - 09/30/18 (12 months)
    • Streamlined - 10/01/17 - 09/30/18 (12 months)
  • Payment Dates:
    • Proportional 10/01/17 - Report Run Date
    • Streamlined - 10/01/17 - Report Run Date

strong>Access to the PS&R: Agencies should make sure they have access to CMS' EIDM system to be able to secure PS&R data. Palmetto will no longer provide hospices their PS&R data but, like the other MACs (CGS and NGS), will require that agencies secure the PS&R data themselves.

The following are links to the latest MAC-specific information related to self-calculation of the Hospice Aggregate Cap:

We hope you find this information valuable. As always, we are here to help. Please contact us with any questions about the hospice cap or any other questions you may have.

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