IN · guidance
Ind. IHCP Hospice Services Provider Reference Module, Section 7, Hospice Plan of Care Review
Hospice Plan of Care Review
The following criteria are used when evaluating the plan of care:
• Does the hospice plan of care show all services were delivered at the appropriate IHCP hospice level
of service (routine home hospice care, continuous home hospice care, inpatient respite hospice care,
general inpatient hospice care)?
• Is the plan of care updated to show the most recent hospice benefit period?
• Does the plan of care received by the IHCP PA-UM contractor match the plan of care in the
member’s medical records?
• Do the member’s medical records indicate that all the services in the plan of care have been
delivered?
• For members residing in a nursing facility, does the plan of care show coordinated care between the
hospice and the nursing facility, as described in CMS Publication 21 and State Operations Manual,
Section 2082A?
Provenance
- Source
- www.in.gov
- Retrieved
- 2026-10-01
- Edition
- ihcp-hospice-2025-08-27
- Content hash
e6aa68a2852b8b9e397e6408d6d43989609a4f152c58603789f91da13567ee31
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