Skip to main content

June 28, 2017

Hospice Self-Determined Aggregate Cap Reminder

CMS published the fiscal year (FY) 2015 Hospice Wage Index and Payment Rate Update final rule on August 22, 2014. The final rule included a requirement for hospices to file a self–determined hospice aggregate cap. Hospices are required to file the self-determined cap each year, between December 31 and February 28. The 2017 Self-Determined Cap's are due no later than February 28, 2018.

As a reminder, the Hospice Caps Web page was created on the CGS website to assist hospices with this process. This Web page includes a link to the "Provider Self-Determined Aggregate Cap Limitation" form, as well as instructions for completing the form.

Hospices are responsible for obtaining their own Provider Statistical and Reimbursement (PS&R) summary from the CMS websiteExternal Website. CGS will not provide this to hospices. An instruction for obtaining your PS&R reports is also available from the Hospice Caps Web page. If a hospice is unable to obtain a copy of their PS&R reports, please contact Tom Bisbee at CGS, at 615-660-5560 for assistance.

Refer to the Hospice Caps Web page for more detailed information about this process and links to additional resources.

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved