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NV · guidance

Nev. Medicaid Provider Type 64 (Hospice) Billing Guide, Hospice Lock-In

Hospice Lock-In

activein force · 2026-07-27 – presentcompiled-edition

To prevent billing discrepancies, once prior authorization is obtained, recipients who elect Hospice services will be ‘locked’

into the care of the specific Hospice provider during the course of their election. To end the Hospice Lock-In for a recipient,

the FA-91 Hospice Program Action Form must be completed indicating the purpose of the change request.

Authorization does not guarantee payment of a claim. Payment is contingent upon eligibility, available benefits, contractual

terms, limitations, exclusions, coordination of benefits and other terms and conditions set forth by the benefit program.

Provenance

Source
www.medicaid.nv.gov
Retrieved
2026-10-02
Edition
nv-pt64-2026-07-27
Content hash
9ba63995f29d63b8fc6f9f30ab4e6bf4a24164f684ec4eb53ce3f817802a9b4c
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