Ind. IHCP Hospice Services Provider Reference Module, Section 5, Submission of the Medicaid Hospice Discharge Form and FFS Prior Authorization Procedures

All IHCP-enrolled hospice providers are required to notify the IHCP of a member’s date of death. To

facilitate paperwork for IHCP-enrolled hospice providers and to ensure that the FFS PA-UM contractor

staff time is maximized when processing hospice paperwork for new hospice members and recertifications,

the FSSA has provided a directive to the FFS PA-UM contractor:

• The FFS PA-UM hospice analyst processes the hospice certification paperwork. If CoreMMIS has a

date of death on the member eligibility screen, the hospice analyst enters the date of death at the

time of the initial hospice certification or the processing of hospice recertifications if the forms have

been properly completed to meet IHCP program guidelines. The date of death in CoreMMIS is

provided by the local Division of Family Resources (DFR) state eligibility consultant.

• The FFS PA-UM hospice analyst suspends the paperwork with a prior authorization notice

requesting the hospice provider submit the Medicaid Hospice Discharge form retroactively to the

IHCP FFS PA-UM contractor.

If the date of death entered by the hospice analyst does not match the date of death recorded by the hospice

provider, it is the responsibility of the hospice provider to coordinate with the local DFR office to correct

this discrepancy. The local DFR office requires the death certificate to correct this matter. The local DFR

office has procedures in place to contact the Indiana Eligibility Determination Services System (IEDSS)

help desk if the problem cannot be corrected at the local DFR office. When the di screpancy is corrected,

the hospice provider can request a correction of the hospice authorization from the IHCP FFS PA-UM

contractor. Hospice providers can obtain contact information for the DFR at in.gov/fssa/dfr.

IHCP-enrolled hospice providers are encouraged to review current procedures to ensure hospice staff does

not incorrectly submit Medicaid Hospice Discharge form for members not enrolled in the IHCP hospice

benefit.