Medicaid Hospice Policy Manual

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Section/Subsection

Title/Content

Policy Number

Issue/ Revised

100 General Information

 

 

 

Table of Contents

001

10/01/2019

Definitions

003

10/01/2019

Manual Instructions

101

10/01/2018

200 Program Description

 

 

 

Legal Authority

202

10/01/2018

300 General Administration

 

 

 

 

Member Rights

301

10/01/2018

Fair Hearing Rights

302

10/01/2018

Third Party Liability

304

10/01/2018

400 Eligibility for Services

 

 

 

Eligibility Requirements

401

10/01/2018

Election Periods

402

10/01/2018

Certification of Terminal Illness

403

10/01/2019

Election of Hospice Care

404

10/01/2018

Election of Hospice Care Sample Form

404-1

10/01/2018

RESERVED

405

Discharge from Hospice Care

406

10/01/2018

Revoking Hospice Care

407

10/01/2018

Change of Designated Hospice

408

10/01/2018

RESERVED

409

Initial and Comprehensive Assessment of the Member

410

10/01/2019

Interdisciplinary Group, Plan of Care and Coordination of Services

411

10/01/2018

Quality Assessment and Performance Improvement

412

10/01/2018

Infection Control

413

10/01/2018

Licensed Professional Services

414

10/01/2018

500 Eligible Services

 

 

 

 

Requirements for Coverage

500

10/01/2018

Covered Services

501

10/01/2018

Special Coverage Requirements

502

10/01/2018

Admission to Hospice Care

503

10/01/2018

Non-Covered Services

504

10/01/2018

Special Requirements for Pre-Election Evaluation and Counseling

505

10/01/2018

600 Payment for Hospice

 

 

 

 

Payment Procedures for Hospice

600

10/01/2018

Payment Rates and Adjustments for Area Wage Differences

601

10/01/2018

Hospice Cap Payment

602

10/01/2018

Submission Requirements under the Quality Reporting Program

603

10/01/2018

RESERVED

604

Hospice Reimbursement for "Room and Board" Rate and Included Services

605

10/01/2018

700 Service Coordination

 

 

 

 

Core Services

701

10/01/2018

Furnishing Non-Core Services

702

10/01/2018

Aide and Homemaker Services

703

10/01/2018

Volunteers

704

10/01/2018

Organization and Administration of Services

705

10/01/2018

Hospice Medical Director

706

10/01/2018

Clinical Records

707

10/01/2018

Medical Supplies

708

10/01/2018

RESERVED

709

RESERVED

710

Short Term Inpatient Care

711

10/01/2018

Inpatient Hospice Facility Compliance Requirements

712

10/01/2018

Hospice Care Provided by a SNF/NF or ICF/IID Facility

713

10/01/2018

RESERVED

714

Curative Care for Children Receiving Medicaid Hospice Services

715

10/01/2018