Hospice nursing home bed-hold (leave) day: Medicaid rates by state

This is a service-level benchmark rather than a single code: each state's headline rate for hospice nursing home bed-hold (leave) day is chosen to match the same service and the same provider level.

• Provider level. States are compared at the same provider level wherever the schedule distinguishes one. Rates for other levels on file (any qualified provider) are kept separate, never mixed into this ranking.
• Unit. All 1 states publish their headline rate per day, so the amounts compare directly. The ranking uses the rate as published, so read the unit before comparing two states.
• Variants. 1 of the 1 states publish more than one rate for this service (by modifier, program, setting or provider type); the headline rate is the one that matches the comparison, and the workspace lists every variant.
• Depth. 497 rates for this service are on file across all states, versions and provider levels; this page shows one headline rate per state.

The highest-paying state, Indiana, pays $147.00; the lowest, Indiana, pays $147.00. 1 of the 1 states pay above the median of —. Common reasons rates for hospice services spread this way:

• Service-intensity add-ons and the split between the first days of care and later days change the daily amount.
• 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.

Billing notes

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.