ID · guidance
Idaho Medicaid Provider Handbook, Home Health and Hospice Services § 4.4.4
Physician Services
Hospice-based physician employee services are billed by the hospice provider on the UB-04
claim form using revenue code 0657 and the appropriate CPT® procedure codes. Notify the
Medical Care Unit of any changes in physicians who are employees, contractors, or volunteers
of the hospice agency.
Physicians who render hospice services who are not employees, contractors, or volunteers of
the hospice agency, must bill Medicaid directly. The claim form should indicate that they have
no affiliation with the hospice agency.
(a)
References: Physician Services
(i) State Regulations
Medical Assistance Program – Services to be Provided, Idaho Code 56-255(3)(g) (2018).
Idaho State Legislature,
https://legislature.idaho.gov/statutesrules/idstat/Title56/T56CH2/SECT56-255.
“Medical Necessity (Medically Necessary).” IDAPA 16.03.26, “Medicaid Plan Benefits,” Sec.
006.15. Department of Administration, State of Idaho,
https://adminrules.idaho.gov/rules/current/16/160326.pdf.
Provenance
- Source
- www.idmedicaid.com
- Retrieved
- 2026-10-02
- Edition
- handbook-hhh-2026-03-11
- Content hash
5cd522b5ffed578edbf03fe6cee6b596e90957588e03acdbe9c6bf2e053b0aaa
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