Ind. IHCP Hospice Services Provider Reference Module, Section 1

Note: Although the information in this module is largely applicable to all hospice benefits covered

under the Indiana Health Coverage Programs (IHCP), certain specific processes and

procedures may vary, depending on the member’s health plan. For hospice coverage

provided through a managed care program (such as Healthy Indiana Plan, Hoosier Care

Connect or Indiana PathWays for Aging), providers should refer to the member’s managed

care entity (MCE) for MCE-specific policies and procedures. MCE contact information is

included in the IHCP Quick Reference Guide available at in.gov/medicaid/providers.

For updates to information in this module, see IHCP Bulletins at in.gov/medicaid/providers.

Hospice care is a specialized form of interdisciplinary healthcare designed to alleviate the physical,

emotional, social and spiritual discomforts of an individual who is experiencing the last phase of a terminal

illness or disease. Hospice care also provides for the psychological, social, spiritual and other needs of the

hospice program patient’s family before and after the patient’s death.

This document outlines key policies and procedures associated with the Indiana Health Coverage Programs

(IHCP) hospice benefits. Indiana state statute mandated the Family and Social Services Administration

(FSSA) implement a Medicaid hospice benefit effective July 1, 1997. State statute requires that the

Medicaid hospice benefit mirror the Medicare hospice program with regard to hospice covered services and

reimbursement methodology.