{"abstract":"This proposed rule would update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2019. The rule also proposes to make conforming regulations text changes to recognize physician assistants as designated hospice attending physicians effective January 1, 2019. Finally, the rule proposes changes to the Hospice Quality Reporting Program.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2018/05/08/2018-08773.html","cfr_references":[{"chapter":null,"citation_url":null,"part":418,"title":42}],"citation":"83 FR 20934","comment_url":null,"comments_close_on":"2018-06-26","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on June 26, 2018.","disposition_notes":null,"docket_ids":["CMS-1692-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":57,"comment_start_date":"2018-05-08","updated_at":"2023-02-28T14:54:45.947-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2018-0058-0002","allow_late_comments":null,"id":"CMS-2018-0058-0002","comment_end_date":"2018-06-27","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2018-0058","title":"FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements CMS-1692-P"}],"document_number":"2018-08773","effective_on":null,"end_page":20970,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2018/05/08/2018-08773.xml","html_url":"https://www.federalregister.gov/documents/2018/05/08/2018-08773/medicare-program-fy-2019-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting","images":{"EP08MY18.004":{"large":"https://img.federalregister.gov/EP08MY18.004/EP08MY18.004_large.png","original_size":"https://img.federalregister.gov/EP08MY18.004/EP08MY18.004_original_size.png"},"EP08MY18.000":{"large":"https://img.federalregister.gov/EP08MY18.000/EP08MY18.000_large.png","original_size":"https://img.federalregister.gov/EP08MY18.000/EP08MY18.000_original_size.png"},"EP08MY18.001":{"large":"https://img.federalregister.gov/EP08MY18.001/EP08MY18.001_large.png","original_size":"https://img.federalregister.gov/EP08MY18.001/EP08MY18.001_original_size.png"},"EP08MY18.002":{"large":"https://img.federalregister.gov/EP08MY18.002/EP08MY18.002_large.png","original_size":"https://img.federalregister.gov/EP08MY18.002/EP08MY18.002_original_size.png"},"EP08MY18.003":{"large":"https://img.federalregister.gov/EP08MY18.003/EP08MY18.003_large.png","original_size":"https://img.federalregister.gov/EP08MY18.003/EP08MY18.003_original_size.png"}},"images_metadata":{"EP08MY18.004":{"large":{"identifier":"EP08MY18.004","content_type":"image/png","size":45557,"width":822,"sha":"1af2c201f78e5788183140aa28d5475c","url":"https://img.federalregister.gov/EP08MY18.004/EP08MY18.004_large.png","height":515},"original_size":{"identifier":"EP08MY18.004","content_type":"image/png","size":60226,"width":1803,"sha":"6edc43623ad2d237a1e53848d4738046","url":"https://img.federalregister.gov/EP08MY18.004/EP08MY18.004_original_size.png","height":1130}},"EP08MY18.000":{"large":{"identifier":"EP08MY18.000","content_type":"image/png","size":39266,"width":823,"sha":"ed1dcfaef85d81ca9d082f6b2e19a0e0","url":"https://img.federalregister.gov/EP08MY18.000/EP08MY18.000_large.png","height":467},"original_size":{"identifier":"EP08MY18.000","content_type":"image/png","size":31370,"width":1803,"sha":"dd16b956b31d4094c119d32e0f0bf96b","url":"https://img.federalregister.gov/EP08MY18.000/EP08MY18.000_original_size.png","height":1023}},"EP08MY18.001":{"large":{"identifier":"EP08MY18.001","content_type":"image/png","size":35836,"width":822,"sha":"e78662d783d7843249769ee0788da00e","url":"https://img.federalregister.gov/EP08MY18.001/EP08MY18.001_large.png","height":459},"original_size":{"identifier":"EP08MY18.001","content_type":"image/png","size":45864,"width":1911,"sha":"e05b4d37133b1d25f380be6af541b610","url":"https://img.federalregister.gov/EP08MY18.001/EP08MY18.001_original_size.png","height":1067}},"EP08MY18.002":{"large":{"identifier":"EP08MY18.002","content_type":"image/png","size":52623,"width":823,"sha":"ae8bd862ba0b6067d785168e55342a90","url":"https://img.federalregister.gov/EP08MY18.002/EP08MY18.002_large.png","height":557},"original_size":{"identifier":"EP08MY18.002","content_type":"image/png","size":78909,"width":1802,"sha":"5542a445203f3813ca8296789f3e2b69","url":"https://img.federalregister.gov/EP08MY18.002/EP08MY18.002_original_size.png","height":1220}},"EP08MY18.003":{"large":{"identifier":"EP08MY18.003","content_type":"image/png","size":51475,"width":822,"sha":"b1c62d722aa50bf31bac5ba16a61c3f0","url":"https://img.federalregister.gov/EP08MY18.003/EP08MY18.003_large.png","height":545},"original_size":{"identifier":"EP08MY18.003","content_type":"image/png","size":63815,"width":1803,"sha":"748b60a6cd1ec6b40ba32719acec048a","url":"https://img.federalregister.gov/EP08MY18.003/EP08MY18.003_original_size.png","height":1195}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2018-08773?publication_date=2018-05-08","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2018-05-08/2018-08773/mods.xml","not_received_for_publication":null,"page_length":37,"page_views":{"count":8361,"last_updated":"2026-09-21 22:15:07 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-05-08/pdf/2018-08773.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2018-08773.pdf?1524860117","publication_date":"2018-05-08","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2018/05/08/2018-08773.txt","regulation_id_number_info":{"0938-AT26":{"issue":"201804","html_url":"https://www.federalregister.gov/regulations/0938-AT26/fy-2019-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting-requirements-cms-16","title":"FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements (CMS-1692-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201804&RIN=0938-AT26&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT26"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT26/fy-2019-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting-requirements-cms-16","title":"FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements (CMS-1692-P)"},"comments_count":57,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2018-0058","supporting_documents_count":0,"docket_id":"CMS-2018-0058","document_id":"CMS-2018-0058-0002","regulation_id_number":"0938-AT26","title":"FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements CMS-1692-P","checked_regulationsdotgov_at":"2023-02-28T19:54:45Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":20934,"subtype":null,"title":"Medicare Program; FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements","toc_doc":"FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements","toc_subject":"Medicare Program:","topics":["Health facilities","Hospice care","Medicare","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":83}