# Medicare Program; FY 2021 Hospice Wage Index and Payment Rate Update
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2020-08-04 · Effective 2020-10-01 · 85 FR 47070
## Document
- **Document number:** 2020-16991
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 85 FR 47070
- **CFR reference:** 42 CFR 418
- **Publication date:** 2020-08-04
- **Effective date:** 2020-10-01
- **HHS docket:** CMS-1733-F
## Abstract

This final rule updates the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2021. This rule also revises the hospice wage index to reflect the current Office of Management and Budget area delineations, with a 5 percent cap on wage index decreases. In addition, this rule responds to comments on the modified election statement and the addendum examples that were posted on the Hospice Center web page to assist hospices in understanding the content requirements finalized in the FY 2020 Hospice Wage Index and Payment Rate Update final rule, effective for hospice elections beginning on and after October 1, 2020.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2020/08/04/2020-16991/medicare-program-fy-2021-hospice-wage-index-and-payment-rate-update)
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