# Medicare Program; FY 2020 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2019-08-06 · Effective 2019-10-01 · 84 FR 38484
## Document
- **Document number:** 2019-16583
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 84 FR 38484
- **CFR reference:** 42 CFR 418
- **Publication date:** 2019-08-06
- **Effective date:** 2019-10-01
- **HHS docket:** CMS-1714-F
## Abstract

This final rule updates the hospice wage index, payment rates, and cap amount for fiscal year 2020. This rule also rebases the continuous home care, general inpatient care, and the inpatient respite care per diem payment rates in a budget-neutral manner to more accurately align Medicare payments with the costs of providing care. In addition, this rule modifies the election statement by requiring an addendum that includes information aimed at increasing coverage transparency for patient under a hospice election. Finally, this rule includes changes to the Hospice Quality Reporting Program.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2019/08/06/2019-16583/medicare-program-fy-2020-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting)
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