Del. Medical Assistance Program Hospice Provider Specific Policy Manual § 6.2

6.2.1 The DMAP Fiscal Agent will send a patient pay notice to the hospice organization

for any hospice nursing home patient. The notice will indicate the patient pay

amount, the effective date and the Medicaid number to be used for billing.

6.2.2 A new patient pay notice will be generated whenever the patient pay amount

changes.

6.2.3 Collection of the patient pay amount from the applicant or his representative is

the responsibility of the Nursing Facility (NF).

6.2.4 It is the responsibility of the hospice to understand what is included in the DMAP

NF per diem rate, to clearly communicate this to the NF, and to assure that the

NF is not billing the patient/family for covered services. See Appendix D for a

detailed listing of services included in the per diem.

6.2.5 It is the responsibility of the hospice organization to deduct the patient pay

amount collected by the NF from the hospice bill.