60-day Episode Calendar Schedule

1 The Statement Covers Through date (UB-04 Form Locator 6) on Home Health Prospective Payment System (HH PPS) claims should reflect the 60th day of the Episode or the date the patient transfers to another home health provider, is discharged, or dies. This Calendar Schedule will assist in determining the 60th day from the start of care (SOC) Health 60-day Episode Calendar ScheduleSOC Date End of Episode01/01thru 03/0101/02thru 03/0201/03thru 03/0301/04thru 03/0401/05thru 03/0501/06thru 03/0601/07thru 03/0701/08thru 03/0801/09thru 03/0901/10thru 03/1001/11thru 03/1101/12thru 03/1201/13thru 03/1301/14thru 03/1401/15thru 03/1501/16thru 03/1601/17thru 03/1701/18thru 03/1801/19thru 03/1901/20thru 03/2001/21thru 03/2101/22thru 03/2201/23thru 03/2301/24thru 03/2401/25thru 03/2501/26thru 03/2601/27thru 03/2701/28thru 03/2801/29thru 03/2901/30thru 03/3001/31thru 03/31 SOC Date End of Episode02/01thru 04/0102/02thru

2 04/0202/03thru 04/0302/04thru 04/0402/05thru 04/0502/06thru 04/0602/07thru 04/0702/08thru 04/0802/09thru 04/0902/10thru 04/1002/11thru 04/1102/12thru 04/1202/13thru 04/1302/14thru 04/1402/15thru 04/1502/16thru 04/1602/17thru 04/1702/18thru 04/1802/19thru 04/1902/20thru 04/2002/21thru 04/2102/22thru 04/2202/23thru 04/2302/24thru 04/2402/25thru 04/2502/26thru 04/2602/27thru 04/2702/28thru 04/28 SOC Date End of Episode03/01thru 04/2903/02thru 04/3003/03thru 05/0103/04thru 05/0203/05thru 05/0303/06thru 05/0403/07thru 05/0503/08thru 05/0603/09thru 05/0703/10thru 05/0803/11thru 05/0903/12thru 05/1003/13thru 05/1103/14thru 05/1203/15thru 05/1303/16thru 05/1403/17thru 05/1503/18thru 05/1603/19thru 05/1703/20thru 05/1803/21thru 05/1903/22thru 05/2003/23thru 05/2103/24thru 05/2203/25thru 05/2303/26thru 05/2403/27thru 05/2503/28thru 05/2603/29thru 05/2703/30thru 05/2803/31thru 05/29 SOC Date End of Episode04/01thru 05/3004/02thru 05/3104/03thru 06/0104/04thru 06/0204/05thru 06/0304/06thru 06/0404/07thru 06/0504/08thru 06/0604/09thru 06/0704/10thru 06/0804/11thru 06/0904/12thru 06/1004/13thru 06/1104/14thru 06/1204/15thru 06/1304/16thru 06/1404/17thru

3 06/1504/18thru 06/1604/19thru 06/1704/20thru 06/1804/21thru 06/1904/22thru 06/2004/23thru 06/2104/24thru 06/2204/25thru 06/2304/26thru 06/2404/27thru 06/2504/28thru 06/2604/29thru 06/2704/30thru 06/28 JANUARYFEBRUARYMARCHAPRILPage 1 of 3 July 11, 2014 2014 Copyright, CGS Administrators, Health 60-day Episode Calendar ScheduleSOC Date End of Episode05/01thru 06/2905/02thru 06/3005/03thru 07/0105/04thru 07/0205/05thru 07/0305/06thru 07/0405/07thru 07/0505/08thru 07/0605/09thru 07/0705/10thru 07/0805/11thru 07/0905/12thru 07/1005/13thru 07/1105/14thru 07/1205/15thru 07/1305/16thru 07/1405/17thru 07/1505/18thru 07/1605/19thru 07/1705/20thru 07/1805/21thru 07/1905/22thru 07/2005/23thru 07/2105/24thru 07/2205/25thru 07/2305/26thru 07/2405/27thru 07/2505/28thru 07/2605/29thru 07/2705/30thru 07/2805/31thru 07/29 SOC Date End of Episode06/01thru 07/3006/02thru

4 07/3106/03thru 08/0106/04thru 08/0206/05thru 08/0306/06thru 08/0406/07thru 08/0506/08thru 08/0606/09thru 08/0706/10thru 08/0806/11thru 08/0906/12thru 08/1006/13thru 08/1106/14thru 08/1206/15thru 08/1306/16thru 08/1406/17thru 08/1506/18thru 08/1606/19thru 08/1706/20thru 08/1806/21thru 08/1906/22thru 08/2006/23thru 08/2106/24thru 08/2206/25thru 08/2306/26thru 08/2406/27thru 08/2506/28thru 08/2606/29thru 08/2706/30thru 08/28 SOC Date End of Episode07/01thru 08/2907/02thru 08/3007/03thru 08/3107/04thru 09/0107/05thru 09/0207/06thru 09/0307/07thru 09/0407/08thru 09/0507/09thru 09/0607/10thru 09/0707/11thru 09/0807/12thru 09/0907/13thru 09/1007/14thru 09/1107/15thru 09/1207/16thru 09/1307/17thru 09/1407/18thru 09/1507/19thru 09/1607/20thru 09/1707/21thru 09/1807/22thru 09/1907/23thru 09/2007/24thru 09/2107/25thru 09/2207/26thru 09/2307/27thru 09/2407/28thru 09/2507/29thru 09/2607/30thru 09/2707/31thru 09/28 SOC Date End of Episode08/01thru 09/2908/02thru 09/3008/03thru 10/0108/04thru 10/0208/05thru 10/0308/06thru 10/0408/07thru 10/0508/08thru 10/0608/09thru 10/0708/10thru 10/0808/11thru 10/0908/12thru 10/1008/13thru 10/1108/14thru 10/1208/15thru

5 10/1308/16thru 10/1408/17thru 10/1508/18thru 10/1608/19thru 10/1708/20thru 10/1808/21thru 10/1908/22thru 10/2008/23thru 10/2108/24thru 10/2208/25thru 10/2308/26thru 10/2408/27thru 10/2508/28thru 10/2608/29thru 10/2708/30thru 10/2808/31thru 10/29 MAYJUNEJULYAUGUSTPage 2 of 3 July 11, 2014 2014 Copyright, CGS Administrators, Health 60-day Episode Calendar ScheduleSOC Date End of Episode09/01thru 10/3009/02thru 10/3109/03thru 11/0109/04thru 11/0209/05thru 11/0309/06thru 11/0409/07thru 11/0509/08thru 11/0609/09thru 11/0709/10thru 11/0809/11thru 11/0909/12thru 11/1009/13thru 11/1109/14thru 11/1209/15thru 11/1309/16thru 11/1409/17thru 11/1509/18thru 11/1609/19thru 11/1709/20thru 11/1809/21thru 11/1909/22thru 11/2009/23thru 11/2109/24thru 11/2209/25thru 11/2309/26thru 11/2409/27thru 11/2509/28thru 11/2609/29thru 11/2709/30thru 11/28 SOC Date End of Episode10/01thru 11/2910/02thru 11/3010/03thru

6 12/0110/04thru 12/0210/05thru 12/0310/06thru 12/0410/07thru 12/0510/08thru 12/0610/09thru 12/0710/10thru 12/0810/11thru 12/0910/12thru 12/1010/13thru 12/1110/14thru 12/1210/15thru 12/1310/16thru 12/1410/17thru 12/1510/18thru 12/1610/19thru 12/1710/20thru 12/1810/21thru 12/1910/22thru 12/2010/23thru 12/2110/24thru 12/2210/25thru 12/2310/26thru 12/2410/27thru 12/2510/28thru 12/2610/29thru 12/2710/30thru 12/2810/31thru 12/29 SOC Date End of Episode11/01thru 12/3011/02thru 12/3111/03thru 01/01 11/04thru 01/02 11/05thru 01/03 11/06thru 01/04 11/07thru 01/05 11/08thru 01/06 11/09thru 01/07 11/10thru 01/08 11/11thru 01/09 11/12thru 01/10 11/13thru 01/11 11/14thru 01/12 11/15thru 01/1311/16thru 01/14 11/17thru 01/15 11/18thru 01/16 11/19thru 01/17 11/20thru 01/18 11/21thru 01/19 11/22thru 01/20 11/23thru 01/21 11/24thru 01/22 11/25thru 01/23 11/26thru 01/24 11/27thru 01/25 11/28thru 01/26 11/29thru 01/27 11/30thru 01/28 SOC Date End of Episode12/01thru 01/2912/02thru 01/3012/03thru 01/3112/04thru 02/0112/05thru 02/0212/06thru 02/0312/07thru 02/0412/08thru 02/0512/09thru 02/0612/10thru 02/0712/11thru 02/0812/12thru 02/0912/13thru 02/1012/14thru

7 02/1112/15thru 02/1212/16thru 02/1312/17thru 02/1412/18thru 02/1512/19thru 02/1612/20thru 02/1712/21thru 02/1812/22thru 02/1912/23thru 02/2012/24thru 02/2112/25thru 02/2212/26thru 02/2312/27thru 02/2412/28thru 02/2512/29thru 02/2612/30thru 02/2712/31thru 02/28 SEPTEMBEROCTOBERNOVEMBERDECEMBERPage 3 of 3 July 11, 2014 2014 Copyright, CGS Administrators, LLC.