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