Ind. IHCP Hospice Services Provider Reference Module, Section 2, Medicare Hospice Certification and State Hospice Licensure

Medicare hospice certification confirms the provider meets all Title XVIII standards for Medicare hospice

participation. To be enrolled in the IHCP as a Medicaid hospice provider, a provider must be certified as a

hospice provider in the Medicare program. A C&T document must be sent to the IHCP Provider

Enrollment Unit from the IDOH. If the hospice provider is operating more than one location, a C&T must

be sent for each location, demonstrating that the regional office has approved each additional location to be

Medicare-certified as a satellite office of the home office location or as a separate hospice with a unique

Medicare provider number.

The provider must comply with all state and federal requirements for Medicaid and Medicare providers.

Furthermore, the hospice and all hospice employees with skill sets requiring an Indiana state license must

be licensed in accordance with federal, state and local laws and regulations as required under federal

regulations at Code of Federal Regulations 42 CFR 418.62 and Indiana state hospice licensure or approval

at Indiana Code IC 16-25-3.

Pursuant to IC 16-25-3-1, state-licensed hospitals, health facilities and home health agencies that operate a

hospice program in Indiana must be approved to do so by the IDOH, but are not required to have a hospice

license. All other entities that operate a hospice program in the state of Indiana must be licensed to do so by

the IDOH. Such license issued or approval granted authorizes the owner or operator of a hospice program

to provide hospice services.

The following sections provide further information about Indiana state licensure of hospices, the

application process for a hospice license or approval, and the regulatory process.