Iowa Medicaid Hospice Provider Manual ch. III § D.5.a

The basic payment rate for hospice reimbursement reflects the costs of

covered services related to the treatment of the member’s terminal

illness. This includes the administrative and general supervisory

activities performed by the medical director, physicians, if employed by

the hospice, or consulting physician. Group activities include

participation in the establishment of plans of care, supervision of care

and services, periodic review and updating of plans of care, and

establishment of governing policies. The costs of these services are

included in the reimbursement rates for routine home care, continuous

home care, inpatient respite care, and general inpatient care.