Billing and Rates

December 8, 2023

The CY 2024 GAFs have been revised to reflect the extension of the work GPCI floor through January 19, 2024, as authorized by Section 501 of the Further Continuing Appropriations and Other Extensions Act, 2024. The GAF standardization factors, which are calculated to ensure that GAF updates are implemented in a budget neutral manner, have also been revised to 1.0026. The CY 2024 national and geographically adjusted HIT payment rates were updated to reflect the changes to the GAF standardization factor.

• CY 2024 Home Infusion Therapy Geographic Adjustment Factors (GAFs) (ZIP)- Revised 12/08/2023
• CY 2024 National Home Infusion Therapy Rates (ZIP) - Revised 12/08/2023
• CY 2024 Home Infusion Therapy Locality Adjusted Rates (ZIP) - Revised 12/08/2023

August 25, 2023

The Geographic Adjustment Factors (GAFs) for the Puerto Rico (PR) and the Virgin Islands (VI) payment localities have been revised. The HIT payment rates have also been revised to reflect the GAF changes in these localities. These GAF and payment rate changes are retroactive to January 1, 2023.

• CY 2023 Home Infusion Therapy Geographic Adjustment Factors (GAFs) (ZIP) - 8-25-23
• CY 2023 Home Infusion Therapy Locality Adjusted Rates (ZIP) - 8-25-23
• CY 2023 National Home Infusion Therapy Rates  (ZIP)
• CY 2023 Home Infusion Therapy Rate Update Table (ZIP)
• Billing for Home Infusion Therapy Services On or After January 1, 2021
• Medicare Part B Home Infusion Therapy Services With The Use of Durable Medical Equipment (PDF)
• MM12667 - Update to 'J' Drug Code List for Billing Home Infusion Therapy (HIT) Services (PDF)

January 1, 2024

• Billing for Home IVIG Items and Services on or after January 1, 2024 (PDF)