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Mont. Medicaid Hospice Policy Manual, Policy 603

Submission Requirements Under the Quality Reporting Program

activein force · 2018-10-01 – presentcompiled-edition

HOSPICE QUALITY

REPORTING

Pursuant to Section 3004,1814(i)(5)(A)(i) of the Affordable Care

Act, effective October 1, 2014, and for each subsequent fiscal year,

the Department shall reduce the market basket update by two

percentage points from any hospice provider who does not comply

with the minimum data submission requirements with respect to the

fiscal year. Medicaid minimum rates will be reduced by the amount

of any penalty due to non-reporting.

Hospice quality reporting cycles are based on a full calendar year

(January 1 thru December 31) of the applicable year.

Each September the Department receives a list of hospices which

are out of compliance with the minimum data submission

requirements. The Department adjusts the rates for these hospices

to reflect the two percent penalty reduction for the current fiscal

year.

Current Medicaid Hospice rates may be found

http://medicaidprovider.mt.gov.

History

Reference: ARM 37.40.830. Supersedes: Policy 603, October 2016.

Provenance

Source
dphhs.mt.gov
Retrieved
2026-10-02
Edition
sltc-hospice-603-2018-10-01
Content hash
2a633e996a39eb012aefde265efab380a7b62c115b41a4bf7a057741bee6871e
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