▌ OMB Revised CBSA Delineations: The final rule maintains the proposal to implement revised Office of Management and Budget (OMB) statistical delineations for the hospice payment system adopted in the FY 2021 final rule. CMS reiterates that the one-year transition policy (resulting from these changes) of a 5 percent cap on wage index decreases applied only to FY 2021. Thus, CMS notes that no cap will be applied to wage index decreases for the second year (FY 2022). Some providers will see a significant decrease in their wage index values as a result of these OMB policies. ▌ Wage Index Values: The CMS files with final FY2022 wage index values can be found on the CMS website. CMS charts showing the FY 2022 FINAL rates for each level of care, both for hospices that do and do not submit quality data, are included below. TABLE 2: FINAL FY 2022 HOSPICE PAYMENT RATES (WITH QUALITY REPORTING) Code Description 651 651 652 655 656 Routine Home Care (days 1-60) Routine Home Care (days 61+) Continuous Home Care Full rate = 24 hours of care Inpatient Respite Care General Inpatient Care FY2021 Payment Rates $199.25 $157.49 $1,432.41 $461.09 $1,045.66 Wage Index Standardization Factor X 1.0002 X 1.0001 X 1.0006 X 1.0014 X 1.0019 FINAL FY 2022 Hospice Payment Update X 1.02 X 1.02 X 1.02 X 1.02 X 1.02 $203.40 $160.74 $1,462.52 ($60.94 per hr) $473.75 $1,068.28 FINAL FY 2022 Payment Rates Newsline / Fall 2021 21https://www.cms.gov/Center/Provider-Type/Hospice-Center