Medi-Cal Provider Manual, Part 2, Hospice Care: General Billing Instructions, Record Retention Requirements

Medi-Cal hospice providers are required, upon request, to make available to DHCS

complete and accurate medical and fiscal records, signed and dated by appropriate staff, to

fully substantiate all claims for hospice services submitted to the Fiscal Intermediary (FI),

and to permit access to all records and facilities for the purpose of claims audit, program

monitoring and utilization review.

Note: Records must be held three years from the last service date.

Periods of Care

Hospice is a covered Medi-Cal benefit with the following periods of care:

• Two 90-day periods beginning on the date of hospice election

• Followed by unlimited 60-day periods

A period of care starts the day the recipient receives hospice care and ends when the

90-day or 60-day period ends.