RI · guidance
R.I. Medicaid Provider Manual, Hospice Services 300-20, Billing Procedures for Hospice Patients in Nursing Facilities
Billing Procedures for Hospice Patients in Nursing Facilities
The NF cannot bill RI Medical Assistance while the beneficiary is under the care of a Hospice agency. The DHS / LTC office will determine the amount of beneficiary income to be applied towards the cost of the institutional routine room and board and notify the appropriate Hospice provider of this amount.
The following procedures should be followed:
• The Nursing Facility (NF) will bill the Hospice Care provider for the patient's room and board by calculating the number of days covered times the NF current Medical Assistance Program per diem rate, times 95%, less applied income.
• The Hospice Care Provider will bill the RI Medical Assistance Program for the Hospice professional care services and for 95% of the current per diem rate for the patient's room and board while in the nursing facility.
Provenance
- Source
- eohhs.ri.gov
- Retrieved
- 2026-10-01
- Edition
- hospice-300-20-2014-01-01
- Content hash
ace1c0052bcd215c6be7c4300a3761ff4a3083399ea60324d49de8e3df37ee63
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