Ind. IHCP Hospice Services Provider Reference Module, Section 4, Admission Procedures

It is the hospice provider’s responsibility to provide the member with specific information about Medicare

and IHCP hospice benefits and, on admission, to educate the member about the participant responsibilities

in the hospice program. The following information should be provided in writing and verbally when

admitting a member to a hospice program:

• Explanation of the benefits that a member waives under the hospice benefit, as noted in the Election

by Member section of this module

• Explanation of what procedures constitute palliative versus aggressive treatments under the hospice

program; for example, chemotherapy or radiation if the treatment is palliative rather than curative,

and how the interdisciplinary team makes this decision

• Member’s responsibility for seeking preapproval for all treatments not in the hospice plan of care

• Member’s responsibility for bills incurred for treatments and services with a physician or facility not

contracted with the hospice

Hospice providers should inform members of all services that are or are not covered under the hospice benefit.