R.I. Medicaid Provider Manual, Hospice Services 300-20, Written Care Plan

In addition to the physician certification and recertification requirements, a written plan for providing hospice care must be established before such care may be provided by, or under arrangements made by, a hospice program. The written plan of care must be established by the attending physician, medical director, or physician designee and interdisciplinary group. The written plan of care must be periodically reviewed by the beneficiary's attending physician (as well as by the medical director and the staff).

A copy of this care plan, and subsequent care plans at each new period of Hospice Care, along with the signed physician certification form, must be sent to HP, (the fiscal agent) for audit purposes by EOHHS within 30 business days after initiated. This care plan must include medical appliances and supplies, including drugs and biologicals, for pain and symptom control related to the individual's terminal illness. The care provided by the hospice provider must be provided pursuant to this established plan of care.