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IA · guidance

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

Daily Nursing Facility Reimbursement

activein force · 2020-10-02 – presentcompiled-edition

Medicaid will also reimburse the hospice provider for 95 percent of the

NF’s daily reimbursement (Revenue Code 658). The cost of room and

board can be obtained from the facility. The hospice agency may also

use the online cumulative rate listing. Click on the following link to be

redirected to the rate listing online:

http://dhs.iowa.gov/ime/providers/csrp/nrf

Use the most recent posting of the cumulative rate listing to research

nursing facility rates. Each quarter the rate listing is updated, however,

only the most recent sheet is updated with that data.

For hospice members entering a nursing facility, the adjustment will be

effective the date of entry. For persons in a nursing care facility before

the hospice election, the adjustment rate shall be effective the date of

hospice election. Reminder: In order to ensure timely reimbursement,

the hospice provider must submit the required forms to the DHS CFEU:

CAR and the Election of the Medicaid Hospice Benefit or the Election of

Medicare.

The hospice reimbursement for the NF room and board and basic NF

activities is a pass-through payment. When the hospice receives

Medicaid reimbursement (Revenue Code 658), the hospice provider

forwards the payment amount to the NF.

Provenance

Source
hhs.iowa.gov
Retrieved
2026-10-01
Edition
hpm-2020-10-02
Content hash
c2a200b78dfc6f0d4f419a5bbdbe6b55818f702a619e8e2f005bec0a9d9c17d7
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