Response: As stated previously, we recommend that hospices use data from their vendors for quality improvement, rather than wait for publicly-reported data. A few commenters stated they believe the addendum and the ABN have the potential to decrease transparency and increase confusion for hospice patients, whereas, other commenters recommended expanding the usage of the addendum, which included combining the ABN and addendum, and to include drugs or services which the hospice has determined to be medically unreasonable or no longer necessary. Therefore, the proposed hospice payment update percentage for FY 2022 was 2.3 percent. To locate a nursing facility's reimbursement rate sheet for an individual living in a nursing facility, go to https://dch.georgia.gov/providers/provider-types/nursing-home-providers. Table 7 indicates the number of hospice days, hospice claims, beneficiaries enrolled in hospices and hospices with at least one claim represented in each year of our analysis. Section 1814(i)(5)(A)(i) of the Act requires that beginning with FY 2014 and each subsequent FY, the Secretary shall reduce the market basket update by 2 percentage points for any hospice that does not comply with the quality data submission requirements with respect to that FY. The competency of new aides must be evaluated by the hospice to ensure appropriate care can be provided by the aide. Specifically, for HOPE-based measure development, the TEP focused on pain and other symptom outcome measure concepts that could be calculated from HOPE. Specifically, one commenter stated that when the cost report was revised in 2014, some industry experts recommended that CMS develop two separate worksheets for IRC and GIC. Hospice Aide Training and EvaluationTargeting Correction of Deficiencies, F. Updates to the Hospice Quality Reporting Program, 2. On March 27, 2020, we sent a guidance memorandum under the subject title, Exceptions and Extensions for Quality Reporting Requirements for Acute Care Hospitals, PPS-Exempt Cancer Hospitals, Inpatient Psychiatric Facilities, Skilled Nursing Facilities, Home Health Agencies (HHAs), Hospices, Inpatient Rehabilitation Facilities, Long-Term Care Hospitals, Ambulatory Surgical Centers, Renal Dialysis Facilities, and MIPS Eligible Clinicians Affected by COVID-19 to the MLN Connects Newsletter and Other Program-Specific Listserv Recipients,[52] (iv) The availability of a more broadly applicable (across settings, populations, or conditions) measure for the particular topic. NHPCO has prepared the FY 2022 MEDICAID Hospice State/County Rate charts with the rates for every county in every state in the country for all levels of care, for use by NHPCO members. Section 418.312 is amended by revising paragraph (b) to read as follows: (b) Submission of Hospice Quality Reporting Program data. Bookmark | The hospice cap amount for the FY 2022 cap year will be $31,297.61, which is equal to the FY 2021 cap amount ($30,683.93) updated by the FY 2022 hospice payment update percentage of 2.0 percent. Use the QPS tool and search for NQF number 2651. e. Would vendors, including those that service post-acute care settings, including but not limited to hospices, be interested in or willing to participate in pilots or models of alternative approaches to quality measurement that would align standards for quality measure data collection across care settings to improve care coordination, such as sharing patient data via secure FHIR API as the basis for calculating and reporting digital measures? Testing also yielded correlation coefficients above 0.85, indicating a high degree of agreement between HH measure scores when using the CAR scenario or the SPR scenario. Further information about these requirements may be found at: http://www.hhs.gov/ocr/civilrights. Alcona County or Statistical Equivalent Lake Erie Coastline CBSA boundaries and names are as of February 2013. documents in the last year, 24 We obtained the Hospice-aggregate CAHPS Hospice Survey outcome data via: https://data.cms.gov/provider-data. by the Education Department We are also proposing in this rule to adopt the HCI into the HQRP for FY2022. Prior to the COVID-19 PHE, we reported the most recent 8 quarters of data on the basis of a rolling average, with the most recent quarter of data being added and the oldest quarter of data removed from the averages for each data refresh. The labor shares for IRC and GIP are currently 54.13 percent and 64.01 percent, respectively. As provided at section 1895(b)(3)(B)(vi) of the Act, depending on the market basket percentage increase applicable for a particular year, the reduction of that increase by 2 percentage points for failure to comply with the requirements of the HH QRP and further reduction of the increase by the productivity adjustment (except in 2018 and 2020) described in section 1886(b)(3)(B)(xi)(II) of the Act may result in the home health market basket percentage increase being less than 0.0 percent for a year, and may result in payment rates under the Home Health PPS for a year being less than payment rates for the preceding year. We solicit comments on current HOPE-based quality measure development and recommendations for future process and outcome measure constructs. Some comments expressed concern about the public's ability to be aware of and find the seven HIS measure scores in the Provider Data Catalogue. The fourth column shows the effect of the final rebased labor shares. Currently, the labor portion of the hospice payment rates are as follows: For RHC, 68.71 percent; for CHC, 68.71 percent; for GIP, 64.01 percent; and for IRC, 54.13 percent. In the FY 2019 Hospice Wage Index and Payment Rate Update final rule (83 FR 38642), we continued the newness exemption for FY 2023, and all subsequent years. They encouraged HHS to continue pursuing adoption of FHIR APIs for health IT vendors. There is one rate for the first 60 days of care and another rate for care beyond 60 days. Similarly, section 1871(b)(1) of the Act requires the Secretary to provide for notice of the proposed rule in the Federal Register and a period of not less than 60 days for public comment for rulemaking carrying out the administration of the insurance programs under title XVIII of the Act. We further propose that as of August 2023, we will resume reporting a rolling average of the most recent 8 quarters of data. Comment: One commenter stated that the proposed methodology for calculating compensation costs omits two of the required disciplines in a hospice patient's interdisciplinary team.

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