HCFA releases interim payment system cost limits for fiscal year 2000
HCFA releases interim payment system cost limits for fiscal year 2000
Balancing the old and the new
The Health Care Financing Administration has released the updated cost limits for the interim payment system (IPS) for FY 00. These changes are effective for cost reporting periods beginning on or after Oct. 1, 1999, through Oct. 1, 2000.
Standardized Per-Beneficiary Limit by Census Regions, Labor, and Nonlabor | ||
Census Region | Labor | Nonlabor |
New England | ||
(CT, ME, MA, NH, RI, VT) | $2,797.47 | $804.37 |
Middle Atlantic (NJ, NY, PA) | $2,073.06 | $596.06 |
South Atlantic | ||
(DE, DC, FL, GA, MD, NC, SC, VA, WV) | $3,127.39 | $899.23 |
East North Central (IL, IN, MI, OH, WI) | $2,535.84 | $729.14 |
East South Central (AL, KY, MS, TN) | $4,808.31 | $1,382.55 |
West North Central | ||
(IA, KS, MN, MO, NE, ND, SD) | $2,435.65 | $700.32 |
West South Central (AR, LA, OK, TX) | $4,667.91 | $1,342.17 |
Mountain | ||
(AZ, CO, ID, MT, NM, NV, UT, WY) | $3,076.15 | $884.49 |
Pacific (AK, CA, HI, OR, WA) | $2,383.00 | $685.20 |
Per-visit changes emanated from a database, which included cost reports starting on or after Oct. 1, 1994, and ending by March of this year. Per-beneficiary changes took into account the base year of FY 94 when looking at "old" agencies and cost reporting periods beginning before Oct. 1, 1998, for examining "new" agencies.
Agencies deemed "old" with a full 12-month cost reporting period from FY 94 would receive a per- beneficiary limit based on agency-specific costs from 1994 in addition to regional adjustment. Those with per-beneficiary limits less than the national median will receive an additional adjustment.
New agencies fall under one of two categories: those with a cost-reporting period ending before Oct. 1, 1998, and those that fall after. The former will receive the national median adjusted according to an area wage index and cost-reporting period, while the latter will receive 75% of the national median per- beneficiary limit.
The unadjusted national median for federal FY 00 is $2,786.53 (labor) and $801.21 (nonlabor).
FY 00 Per-Visit Cost Limits | |||
MSA (NECMA)location | Labor | Nonlabor | Total |
Skilled nursing care | $78.91 | $21.90 | $100.81 |
Physical therapy | $90.16 | $25.40 | $115.56 |
Speech therapy | $91.40 | $25.66 | $117.06 |
Occupational therapy | $90.46 | $25.51 | $115.97 |
Medical social services | $110.13 | $31.27 | $141.40 |
Home health aide | $36.39 | $10.04 | $46.43 |
Non-MSA location | Labor | Nonlabor | Total |
Skilled nursing care | $90.28 | $20.79 | $111.07 |
Physical therapy | $103.15 | $24.00 | $127.15 |
Speech therapy | $107.68 | $25.32 | $133.00 |
Occupational therapy | $107.01 | $25.49 | $132.50 |
Medical social services | $141.49 | $32.61 | $174.10 |
Home health aide | $37.98 | $8.68 | $46.66 |
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