Episodic Payment System for Certified Home Health Agencies
Statewide Weighted Average Rates Associated with CHHA Revenue Codes
Effective October 1, 2022
These rates will be used to determine "Total Service Price" for LUPA and Outlier calculations
| Revenue Code |
Service Description | Weighted Average Rate |
|---|---|---|
| 0551 | Nursing - Visit | $155.39 |
| 0421 | Physical Therapy - Visit | $123.32 |
| 0441 | Speech Pathology - Visit | $126.97 |
| 0431 | Occupational Therapy - Visit | $122.76 |
| 0572 | Home Health Aide - Hour | $31.73 |
| 0579 | Shared Aide - Quarter Hour | $7.93 |
| 0780 | Telehealth Services - Day | $10.10 |
| 0590 | Telehealth - Installation | $50.00 |
| 0581 | MOMS Health Supportive Services - Visit | $78.03 |
