Ind. IHCP Hospice Services Provider Reference Module, Section 6, Treatment for the Hospice Member’s Nonterminal Condition

When the IHCP member elects the IHCP hospice benefit, care for the terminal condition comes under the

supervision of the IHCP hospice provider. The IHCP covers the IHCP hospice member’s medical care for

conditions not related to the terminal illness. The IHCP expects the hospice provider to actively interact and

coordinate services with other IHCP providers providing nonhospice services.

The IHCP hospice member’s medical care for the nonterminal conditions can be met by one of the

following methods:

• Outpatient physician services

• Inpatient admission or outpatient hospital services

• Admission to a nursing facility

The hospice provider’s coordination and billing responsibilities for each treatment option are described in

the following sections. The provider billing for the treatment of the nonterminal illness must obtain PA for

the nonhospice services (see the Prior Authorization for Treatment of Nonterminal Conditions section).

Note: Medicaid is always the payer of last resort, so nonhospice providers are reminded to

first bill other payer sources before billing the IHCP.