Idaho Medicaid Provider Handbook, Home Health and Hospice Services § 4.2

A hospice agency is a public or private organization primarily engaged in providing care to

terminally ill participants. Hospice agencies must be licensed in Idaho or certified to participate

in the Medicare Program. Services must be within the scope of practice, certification/licensure,

and training of the provider rendering them. The agency must employ at least one physician,

one registered nurse and a social worker. The provider must have a National Provider

Identifier (NPI) to be eligible for enrollment. Enrollment as an Idaho Medicaid provider and

entering into a provider agreement must be completed prior to providing services for Idaho

Medicaid participants.

Hospice agencies are considered high-risk providers. All employees and volunteers of a

hospice agency must receive a clearance from a background check through the Idaho

Department of Health and Welfare. Providers must submit a list of physicians, including

volunteer physicians, employed by the hospice in their provider application and update any

changes to this list with the department. For the purpose of hospice, the attending physician

is a doctor of medicine or osteopathy that is identified by the participant during the hospice

election as having the most significant role in their medical care.

All provider handbook and applicable state and federal regulations must be followed to

maintain eligibility for reimbursement. See General Information and Requirements for

Providers, Idaho Medicaid Provider Handbook for more information on enrolling as an Idaho

Medicaid provider.