Ind. IHCP Hospice Services Provider Reference Module, Section 6, General Inpatient Hospice Care

The IHCP reimburses the hospice provider at the general inpatient hospice care rate for each day the member

is in an approved inpatient hospice facility and is receiving general inpatient hospice care for pain control or

acute or chronic symptom management related to the terminal illness that cannot be managed in other settings.

The hospice provider is the professional manager of the patient’s care, regardless of the physical setting of that

care or level of service. If the inpatient facility is not also the hospice provider, the hospice provider must have

a contract with the inpatient facility delineating the roles of each provider in the plan of care.

For general inpatient stays, the day of discharge is not paid unless it is the date of death.

Note: Total inpatient days (general inpatient days and respite care days) for an individual

hospice provider and any contracted agents may not exceed 20% of all days

provided to all IHCP hospice members serviced by that specific provider during the

12-month period beginning Nov. 1 of each year and ending Oct. 31 of the next year.

See the Limitation of Payments for Inpatient Care section for the additional

information regarding this limitation.