Billing and Rates
Billing and Rates
April 9, 2025
On March 15, 2025, Section 2206 of the Full-Year Continuing Appropriations and Extensions Act, 2025 extended the Work GPCI floor through September 30, 2025. The GAFs used to geographically adjust HIT payments, the GAF standardization factors, and the national HIT payment rates are unchanged.
January 3, 2025
On December 21, 2024, Section 3206 of the American Relief Act, 2025 extended the work GPCI floor through April 1, 2025. The CY 2025 GAFs have been revised to reflect the extension of the work GPCI floor through April 1, 2025, as authorized Section 3206 of the American Relief Act, 2025. Due to the extension of the work GPCI floors the CY 2025 GAFs are unchanged from the CY 2024 GAFS. Therefore, the GAF standardization factors, which are calculated to ensure that GAF updates are implemented in a budget neutral manner, have also been revised to 1.0000. The HIT Payment rates have also been updated to reflect the revised GAF standardization factor.
The updated CY 2025 HIT National rates, CY 2025 GAFs and The CY 2025 geographically adjusted Hit rates for initial and subsequent visits are located in the files below.
- CY 2025 Home Infusion Therapy Geographic Adjustment Factors (GAFs) (ZIP) - January 2025
- CY 2025 National Home Infusion Therapy Rates (PDF) - January 2025
- CY 2025 Home Infusion Therapy Locality Adjusted Rates (ZIP) - January 2025
November 4, 2024
April 24, 2024
On March 9, 2024, Section 303 of the Consolidated Appropriations Act, 2024 extended the work GPCI floor through December 31, 2024. The GAF standardization factors, and the national HIT payment rates are unchanged.
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
Page Last Modified:
04/09/2025 06:08 PM