Hospice Medicaid rates by code
11 hospice codes with published Medicaid rates in five or more states. Each page compares every state's rate, unit and managed-care rule.
- Codes
- 11
- In 40+ states
- 0
All hospice codes
| Code | Service | States | Median rate |
|---|---|---|---|
| 0651 | Hospice routine home care (daily) | 12 | $181.18 |
| 0652 | Hospice continuous home care (hourly) | 12 | $65.99 |
| 0655 | Hospice inpatient respite (daily) | 13 | $524.34 |
| 0656 | Hospice general inpatient care (daily) | 13 | $1,132.04 |
| 651 | Hospice routine home care (daily) | 12 | $186.79 |
| 652 | Hospice continuous home care (hourly) | 12 | $74.00 |
| 655 | Hospice inpatient respite (daily) | 12 | $531.75 |
| 656 | Hospice general inpatient care (daily) | 12 | $1,147.08 |
| G0155 | Services of clinical social worker in home health or hospice... | 13 | $18.36 |
| T2042 | Hospice routine home care; per diem | 8 | $210.95 |
| T2043 | Hospice continuous home care; per hour | 8 | $68.10 |
What the hospice line covers
The hospice line groups the codes billed mostly by hospice agencies. Across the 51 state programs we cover, 11 codes in this line have a published fee-for-service rate in five or more states. By code set, the line is made up of 8 revenue codes, 2 HCPCS Level II state Medicaid agency codes and 1 HCPCS Level II professional services code.
How to read the index
- Code opens the code's page: every state's rate ranked, the unit, a per-hour figure for timed codes, the managed-care rule and a Medicare comparison where the units match.
- States is the number of state Medicaid programs that publish a fee-for-service rate for the code. A higher count makes the median more representative.
- Median rate is the middle published amount across those states, in the units they use. When states publish a code in different units, the median mixes them, so open the code before relying on it.
Why hospice rates differ between states
- Medicaid hospice rates are generally set using the Medicare hospice methodology and adjusted by a wage index, so the differences between states mostly reflect local wage levels.
- Service-intensity add-ons and the split between the first days of care and later days change the daily amount.
Billing and units
Hospice is paid per day at one of four levels of care: routine home care, continuous home care (paid by the hour), inpatient respite and general inpatient care.
Frequently asked questions
How many hospice codes have Medicaid rates here?
11 codes with a published fee-for-service rate in at least five state Medicaid programs. The typical code in this line is published by 12 states.
Which hospice codes are published by the most states?
0655 (13 states), 0656 (13 states), G0155 (13 states), 0651 (12 states) and 0652 (12 states).
Can I compare the median rates in this list?
Only with care. Each median is taken across the states that publish the code, in the units they publish it in. Open a code to see the unit each state uses and whether the code is ranked like-for-like.
How are hospice services billed?
Hospice is paid per day at one of four levels of care: routine home care, continuous home care (paid by the hour), inpatient respite and general inpatient care.
Where do these rates come from?
From each state's official Medicaid fee schedules, rate notices and provider bulletins. Every rate on a code page links to its source document and effective date.