Episodic Payment System for Certified Home Health Agencies
Statewide Weighted Average Rates
Associated with CHHA Revenue Codes
Effective May 1, 2012
These rates will be used to determine "Total Service Price" for LUPA and Outlier calculations
EPS - Weighted Average Rates for LUPAS and Outliers is also available in Excel Format (XLS, 11KB)
| Revenue Code | Service Description | Weighted Average Rate |
|---|---|---|
| 0551 | Nursing - Visit | $102.15 |
| 0421 | Physical Therapy - Visit | $113.89 |
| 0441 | Speech Pathology - Visit | $112.83 |
| 0431 | Occupational Therapy - Visit | $108.67 |
| 0572 | Home Health Aide - Hour | $17.92 |
| 0579 | Shared Aide - Quarter Hour | $4.48 |
| 0559 | AIDS Nursing - Visit | $102.15 |
| 0780 | Telehealth Services - Day | $9.52 |
| 0590 | Telehealth - Installation | $50.00 |
| 0581 | MOMS Health Supportive Services - Visit | $77.88 |
