Ind. IHCP Hospice Services Provider Reference Module, Section 6, Billing and Reimbursement for Concurrent Hospice and Curative Care for Children

IHCP-enrolled children 20 years of age and under who elect the IHCP hospice benefit may also receive

curative care services for the terminal condition concurrent with hospice care. Curative services must be

medically necessary and included as part of the hospice plan of care.

PA is required for curative care services only if the IHCP-covered service requires PA. The IHCP provider

rendering the curative care services for the terminal condition is responsible for obtaining PA. Curative

care services must be included with the hospice plan of care and submitted to the PA-UM contractor to

ensure a comprehensive review.

The IHCP reimburses curative care services separately from hospice services. For concurrent hospice and

curative care for children, providers bill hospice services as described in this section, while curative care

services must be billed separately, using the appropriate diagnosis codes, procedure codes and claim type

for the service rendered.