Ind. IHCP Hospice Services Provider Reference Module, Section 1, Location of Respite or General Inpatient Hospice Care

Short-term inpatient hospice care is offered under two levels of service: inpatient respite hospice care and

general inpatient hospice care. These two levels of hospice service may be offered in any of the settings

indicated for them in Table 2:

Table 2 – Allowable Facilities for Respite or General Inpatient Hospice Care

Facility Type Inpatient Respite

Hospice Care*

General Inpatient

Hospice Care

Hospice facility

Must be Medicare-certified and meet the conditions

of participation for providing inpatient care directly

as specified in 42 CFR 418.110

Yes Yes

Hospital

Must be Medicare-certified and meet the standards

specified in 42 CFR 418.110(b) and (f) regarding

24-hour nursing services and patient areas.

Yes Yes

Facility Type Inpatient Respite

Hospice Care*

General Inpatient

Hospice Care

Skilled nursing facility (SNF)

Must be Medicare-certified and meet the standards

specified in 42 CFR 418.110(b) and (f) regarding

24-hour nursing services and patient areas.

Yes Yes

Nursing facility

Must be Medicare- or Medicaid-certified and also

meet the standards specified in 42 CFR 418.110(f).

Yes No

*Note: Inpatient respite hospice is allowable only for members who are otherwise residing in a

private home, and are admitted to the indicated facility for a respite stay only.

If the hospice has an arrangement with a facility (defined in Table 2) to provide for short-term inpatient

care, the arrangement must be described in a written agreement have a written arrangement must meet

the requirements of. 42 CFR 418.108(c). Arranged services must be supported by written agreements as

described in 42 CFR 418.100(e).