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Medicaid Hospice Policy Manual

Medicaid Hospice Policy Manual

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Section/ Subsection Title/Content Policy Number Issue/ Revised
100 General Information      
  Table of Contents 001 07/2017
  Definitions 003 10/2016
  Manual Instructions 101 10/2016
200 Program Description      
  Legal Authority 202 10/2016
300 Program Administration      
  Member Rights 301 10/2016
  Fair Hearing Rights 302 07/2017
400 Eligibility for Services      
  Eligibility Requirements 401 10/2016
  Election Periods 402 10/2016
  Certification of Terminal Illness 403 10/2016
  Notice of Election of Hospice Services Policy Clarification Memo   05/2017
  Election of Hospice Care 404 07/2017
  Election of Hospice Care Sample Form 404-1 07/2017
  RESERVED 405 10/2016
  Discharge from Hospice Care 406 10/2016
  Revoking Hospice Care 407 10/2016
  Change of Designated Hospice 408 10/2016
  RESERVED 409  
  Initial and Comprehensive Assessment of the Member 410 10/2016
  Interdisciplinary Group, Plan of Care and Coordination of Services 411 10/2016
  Quality Assessment and Performance Improvement 412 10/2016
  Infection Control 413 10/2016
  Licensed Professional Services 414 10/2016
500 Eligible Services      
  Requirements for Coverage 500 10/2016
  Covered Services 501 10/2016
  Special Coverage Requirements 502 10/2016
  Admission to Hospice Care 503 10/2016
  Non-Covered Services 504 10/2016
  Special Requirements for Pre-Election Evaluation and Counseling 505 10/2016
600 Payment for Hospice      
  Payment Procedures for Hospice 600 07/2017
  Payment Rates and Adjustments for Area Wage Differences 601 10/2016
  Hospice Cap Payment 602 10/2016
  Submission Requirements under the Quality Reporting Program 603 10/2016
  RESERVED 604  
  Hospice Reimbursement for "Room and Board" Rate and Included Services 605 10/2016
700 Service Coordination      
  Core Services 701 10/2016
  Furnishing Non-Core Services 702 10/2016
  Aide and Homemaker Services 703 10/2016
  Volunteers 704 10/2016
  Organization and Administration of Services 705 10/2016
  Hospice Medical Director 706 10/2016
  Clinical Records 707 07/2017
  Medical Supplies 708 10/2016
  RESERVED 709  
  RESERVED 710  
  Short Term Inpatient Care 711 10/2016
  Inpatient Hospice Facility Compliance Requirements 712 10/2016
  Hospice Care Provided by a SNF/NF or ICF/IID Facility 713 10/2016
  RESERVED 714  
  Curative Care for Children Receiving Medicaid Hospice Services 715 10/2016