MO · guidance
MO HealthNet Hospice Provider Manual § 2.14
Service Intensity Add-On (Revenue Codes 0551 and 0561)
The Service Intensity Add-On (SIA) payment is made for a visit by a social worker or an RN when provided during routine home care in the last seven (7) days of a participant’s life. The SIA payment is in addition to the routine home care rate. The SIA payment rate is limited to four (4) hours combined for both RNs and social workers on each date of service. The SIA payment is only for those social worker and RN services provided during an in-person visit and does not apply to phone visits. Hospice providers must differentiate between nursing services provided by a RN and nursing services provided by a LPN because an LPN is not eligible for the SIA payment.
Below are the procedure codes for providers to distinguish between RN services, LPN services, and social work services. The revenue codes 0551 (skilled nursing) and 0561 (medical social service visit) must be used as indicated below or these claims will deny. SIA services must be billed for each date of service. A date span cannot be used.
Proc Code | Revenue Code | Description
G0155 | 0561 | Medical social service visit
G0299 | 0551 | Direct skilled nursing services of a registered nurse, RN, in the home health or hospice setting
G0300 | N/A | Direct skilled nursing of a LPN, in the home health or hospice setting
A list of hospice revenue codes is in Section 5.1 of this manual.
Provenance
- Source
- dss.mo.gov
- Retrieved
- 2026-10-01
- Edition
- mhd-hospice-2026-04-13
- Content hash
2657c92f64423944f6d18c489d6cde9ee36b897ac9ebabd1a5cbc7b43e9f1cec
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