This final rule rebases and revises the labor shares for all four levels of care: routine home care, continuous home care, inpatient respite care, and general inpatient care based on the compensation cost weights for each level of care from the 2018 Medicare cost report data for freestanding hospices. The final FY 2022 labor shares are 66.0 percent for routine home care, 75.2 percent for continuous home care, 61.0 percent for inpatient respite care, and 63.5 percent for general inpatient care.

This rule finalizes several clarifying regulation text changes on certain aspects of the hospice election statement addendum requirements that were previously finalized for hospice elections beginning on and after October 1, 2020.