S.D. Medicaid Billing and Policy Manual, Hospice Services, Quick Answers

1. Does a hospice provider need to submit a new notification of election of hospice

services to the Division of Economic Assistance if the recipient was previously receiving

hospice services and revoked their election or was discharged?

Yes, providers are required to notify the Division of Economic Assistance that the recipient had

been discharged or revoked their election of hospice services. If the recipient is electing hospice

services again, the provider must notify the Division of Economic Assistance of the new election

using the form available on our website.

2. If a recipient revokes their election of hospice or is discharged and subsequently elects

hospice services again, is a new physician certification of terminal illness required?

Yes, if there is a break in hospice services due to revocation of election or discharge a new

physician certification of terminal illness must be obtained.

3. Does a hospice provider have to notify the Division of Economic Assistance when a

physician recertifies that the recipient has a terminal illness?

No, the Division of Economic assistance only needs to be notified at the time of election of

hospice care and again at the time of revocation, death or discharge. The recertification must be

documented in the recipient’s medical record.

4. Does a PASRR apply to hospice recipients?

Yes, a PASRR screening must be completed for any individual admitting to a Medicaid certified

nursing facility including individuals receiving hospice services in the nursing facility a PASRR

must be completed. Please refer to the Pre-Admission Screening and Resident Review provider

manual for more information.