# Medicare Program; Hospice Wage Index for Fiscal Year 2010
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2009-08-06 · Effective 2009-10-01 · 74 FR 39384
## Document
- **Document number:** E9-18553
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 74 FR 39384
- **CFR reference:** 42 CFR 405
- **Publication date:** 2009-08-06
- **Effective date:** 2009-10-01
- **HHS docket:** CMS-1420-F
## Abstract

This final rule will set forth the hospice wage index for fiscal year 2010. The final rule adopts a MedPAC recommendation regarding a process for certification and recertification of terminal illness. In addition, this final rule will also revise the phase-out of the wage index budget neutrality adjustment factor (BNAF), with a 10 percent BNAF reduction in FY 2010. The BNAF phase-out will continue with successive 15 percent reductions from FY 2011 through FY 2016.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2009/08/06/E9-18553/medicare-program-hospice-wage-index-for-fiscal-year-2010)
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