NAME:		Claim HHA Low Utilization Payment Adjustment 
		(LUPA) Indicator Code
 
 
 DESCRIPTION:	The code used to identify those Home Health 
		PPS claims that have 4 visits or less in a 
		60-day episode.

 		If an HHA provides 4 visits or less, they 
		will be reimbursed based on a national 
		standardized per visit rate instead of Home 
		Health resource groups (HHRGs).

 
 SHORT NAME: 	LUPAIND

 LONG NAME: 	CLM_HHA_LUPA_IND_CD

 TYPE:		CHAR
 
 LENGTH: 	1
 
 SOURCE: 	CWF

 
 CODE VALUES: 	L     =	  Low utilization payment adjustment 
			    (LUPA) claim

		Blank =	  Not a LUPA claim; process using Home 
			    Health resource groups (HHRG)



 COMMENT:	Beginning 10/1/00, this field was populated 
		with data.  Claims processed prior to 10/1/00 
		contained spaces.