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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 10/01/2018
  Definitions 003 10/01/2018
  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 10/01/2018
  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 10/01/2018
  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