Rates of Payment for Home Health Services in the Home

For dates of service on or after July 1, 2023, the base rate for home health services is the lower of the established charge or the rate listed in 101 CMR 350.04(1). Code Rate Unit Service Per Visit Services of an RN in home health setting (one through 30 calendar days) Per Visit Services of an LPN in home health setting (one through 30 calendar days) Per Visit Services of an RN in home health setting (31+ calendar days) Per Visit Services of an LPN in home health setting (31+ calendar days) T1502 Per Visit Administration of oral, intramuscular, and/or subcutaneous medication by health care agency/professional per visit (RN or LPN) (Use only for medication administration visit.) T1503 Per Visit Administration of medication other than oral, intramuscular, and/or subcutaneous medication by health care agency/professional per visit (RN or LPN) (Use only for medication administration visit.) Per Visit Office services provided on an emergency basis Per Visit Services of physical therapist in the home health setting Per Visit Services of occupational therapist in the home health setting Per Visit Services of speech/language therapist in the home health setting Per 15 Minutes Services of home health aide in the home health setting Per 15 Minutes Services of home health aide in the home health setting for ADL support Per Visit Services of an RN for the observation and assessment of the patient’s condition provided every 60 days to members utilizing home health aide services for ADL support