LAC 40:I.2517
LAC 40:I.2517. Hospice Care Rate Schedule
Cite as La. Admin. Code tit. 40, pt. I, § 2517
A. Schedule
Routine | *Continuous | Respite | General Inpatient
Hospital Based | $114 | $28 | $117 | $504
Freestanding | $116 | $29 | $120 | $513
*(Continuous Home Care is an hourly rate. All others are per diems)
B. The formulas for calculating payment amount by category of service are:
1. routine home care, respite care and general inpatient care:
Per Diem Rate x days = Per Diem Amount;
a. if billed charges > per diem amount, pay per diem amount less noncovered charges;
b. if billed charges < per diem amount, pay billed charges less noncovered charge;
2. continuous home care―the rate quoted is an hourly rate. As defined above, to be covered, continuous home care must be provided for a minimum of eight hours.
Hourly Rate x Hours of Care Provided = Payment Amount