Proposed Rate Changes - Home Health and Personal Care (Effective July 1, 2012)
Rate
Adjusted Rate % Change
10
$0.21
$0.23
10%
19
$3.05
$3.37
10%
7
$3.56
$3.93
10%
1
$0.00
$0.00
0%
4
$7.01
$7.73
10%
2
$0.10
$0.11
10%
1
$0.10
$0.11
10%
1
$0.00
$0.00
0%
1
$7.66
$8.45
10%
6
$0.79
$0.87
10%
0
$0.79
$0.87
10%
1
$0.00
$0.00
0%
1
$2.57
$2.84
10%
1
$0.00
$0.00
0%
2
$0.09
$0.10
10%
8
$0.34
$0.38
10%
17
$0.00
$0.00
0%
7
$0.00
$0.00
0%
2
$5.04
$5.56
10%
17 $17.97
$19.83
10%
3,077 $82.38
$90.90
10%
164 $82.34
$90.85
10%
71 $82.38
$90.90
10%
69 $72.02
$79.47
10%
338 $72.02
$80.66
12%
2,290 $72.02
$80.66
12%
3 $75.02
$82.78
10%
1,091 $82.38
$90.90
10%
171,564
$9.64
$10.64
10%
73 $14.59
$16.78
15%
15,889 $65.65
$72.44
10%
1 $100.00
$110.34
10%
188 $42.45
$46.84
10%
1
$8.46
$9.33
10%
2 $23.09
$25.48
10%
6,306 $19.62
$22.56
15%
421,207
$9.64
$11.09
15%
2,859 $87.53
$100.66
15%
3,183 $75.10
$86.37
15%
55,640 $34.63
$39.82
15%
1,643 $82.38
$94.74
15%
F
A
CodeDesc
ATTENDANT CARE SERVICES; PER 15 MINUTES
NURSING CARE,IN HOME;BY RN,PER HOUR (VISIT)
NURSING ASSESSMENT/EVALUATION
PERSONAL CARE SERVICES, PER 15 MIN, OUTPAT,(HOUR)
HOME HEALTH AIDE OR CERTIF NURSE ASSIST, PER VISIT
ASSESS HOME,ENVIRON,DETERMINE PT'S MEDICAL NEEDS
NURSING CARE,IN HOME,BY REGISTERED NURSE,PER DIEM
D
Personal Care Services
ProcedureCd
S5125
S9123
T1001
T1019
T1021
T1028
T1030
Units
T
CodeDesc
SYRINGE WITH NEEDLE; STERILE 1 CC OR LESS,EACH
ALCOHOL WIPES,PER BOX
INSERTION TRAY W/O DRAINAGE BAG & W/O CATHETER
INCONTINENCE SUPPLY; MISCELLANEOUS
INDWELL CATHETER;FOLEY TYPE,2-WAY LATEX W/COATING
TAPE,NON-WATERPROOF,PER 18 SQUARE INCHES
TAPE,WATERPROOF,PER 18 SQUARE INCHES
SKIN BARRIER, WIPES OR SWABS, EACH
FOAM DRESSING,WOUND COVER,PAD SIZE<=16SQ IN,BORDER
GAUZE,NON-IMPREGNATED,PAD<=16 SQ.IN.W/BORDER,EACH
GAUZE,IMPREG,OTH THAN WATER/SALINE,<16 SQ INCH
SKIN SEALANTS,PROTECTANTS,MOISTURIZERS,OINTMENTS
SPECIALTY ABSORP DRESS,COVER,PAD>16<=48IN.W/O BDR
WOUND CLEANSERS, ANY TYPE, ANY SIZE
GAUZE,NON-IMPREGNATED,STERILE,PAD<=16 IN.W/0 BORDR
GAUZE,NON-IMPREG,STERILE,PAD>16<=48IN.W/O BRDR,EA
CONFORM BANDAGE,NON-ELAST,WOVEN,NON-STER,<=3",YD
LIGHT COMPRESS BANDAGE,ELAST,WOVEN,>=5",PER YD
HEEL OR ELBOW PROTECTOR, EACH
SERVICES OF PT IN HOME SETTING,EACH 15 MINUTES
SRVC OF SKILLED NURSE IN HOME SET,EA 15 MIN(VISIT)
INFUSION THERAPY VISIT(NO CHEMOTHERAPEUTIC DRUGS)
NURSING CARE,IN HOME;BY RN,PER HOUR (VISIT)
SPEECH THERAPY, IN THE HOME, PER DIEM
OCCUPATIONAL THERAPY, IN THE HOME, PER DIEM
PHYSICAL THERAPY; IN THE HOME, PER DIEM
CRISIS INTERVENTION MENTAL HEALTH SRVC, PER DIEM
RN SERVICES, UP TO 15 MINUTES (HH VISIT)
RESPITE CARE SERVICES, UP TO 15 MINUTES (HOUR)
PERSONAL CARE SERVICES, PER 15 MIN, OUTPAT,(HOUR)
HH AGENCY CNTY 19=371%=$243.56, 10=265%=$173.97
ASSESS HOME,ENVIRON,DETERMINE PT'S MEDICAL NEEDS
NOC THERAPEUTIC ITEMS AND SUPPLIES,RETAIL PURCHASE
DAY HABILITATION, WAIVER; PER 15 MINUTES
SPEECH,LANG.HEAR./GROUP 30 MIN.,NON-PHY
HH AIDE/CERT NURSE ASSIST,HOME;PER HR
PRVT DTY/INDEP NURSING SRVC,LICNSD, UP TO 15 MIN
NURSING ASSESSMENT/EVALUATION
LPN/LVN SERVICES, UP TO 15 MINUTES (HH VISIT)
HOME HEALTH AIDE OR CERTIF NURSE ASSIST, PER VISIT
NURSING CARE,IN HOME,BY REGISTERED NURSE,PER DIEM
R
Home Health Services
ProcedureCd
A4206
A4245
A4310
A4335
A4338
A4450
A4452
A5120
A6212
A6219
A6222
A6250
A6252
A6260
A6402
A6403
A6442
A6450
E0191
G0151
G0154
Q0081
S9123
S9128
S9129
S9131
S9485
T1002
T1005
T1019
T1022
T1028
T1999
T2021
Y1021
S9122
T1000
T1001
T1003
T1021
T1030
HH provider type specific pricing.
Units
Rate
Adjusted Rate % Change
161,212
$3.71
$4.77
29%
0 $82.38
$90.90
10%
526 $87.53
$100.66
15%
26,109 $14.59
$16.78
15%
15,493 $34.63
$39.82
15%
11 $100.00
$110.34
10%
0 $82.38
$94.74
15%