Iowa Medicaid Hospice Provider Manual ch. III § D.3.a

For hospice/NF care, the NF and the hospice provider must enter into a

written agreement which states that the hospice provider takes full

responsibility for the professional management of the member’s hospice

care and the NF agrees to provide room and board along with basic NF

services. Basic NF services include:

• The performance of personal care services, including assistance in

activities of daily living;

• Socializing activities;

• Administration of medication;

• Maintaining the cleanliness of the member’s room; and

• Supervising and assisting in the use of durable medical equipment

and prescribed therapies.

A copy of the written agreement shall be filed in member’s records.