[Code of Federal Regulations] [Title 42, Volume 3, Parts 430 to end] [Revised as of October 1, 2000] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR484.230] [Page 502] TITLE 42--PUBLIC HEALTH CHAPTER IV--HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 484--HOME HEALTH SERVICES--Table of Contents Subpart E--Prospective Payment System for Home Health Agencies Sec. 484.230 Methodology used for the calculation of the low-utilization payment adjustment. An episode with four or fewer visits is paid the national per-visit amount by discipline updated annually by the applicable market basket for each visit type. The national per-visit amount is determined by using cost data set forth in Sec. 484.210(a) and adjusting by the appropriate wage index based on the site of service for the beneficiary.