Tex. HHSC Medicaid Hospice Provider Manual § 6200

Revision 05-1; Effective December 2, 2005

When a Medicaid recipient elects hospice in a long term care facility, the hospice provider is responsible for:

the Medicaid hospice election and cancellation process;

complying with the hospice rules and policies;

working with the long term care staff to arrange an individual's admission into the facility, if applicable;

working with the staff in the long term care facility to assure all forms are completed in order to start, continue or cancel the hospice program;

notifying the Social Security Administration (SSA) when a Supplemental Security Income (SSI) recipient is admitted onto hospice;

retaining the professional management responsibility for the provision of hospice care according to the hospice plan of care by qualified individuals;

maintaining a separate hospice section in the current NF clinical or ICF/MR-RC resident record that contains documentation of all the hospice services provided by hospice staff, hospice admission assessments, physician certifications and cancellations, documentation on Medicaid eligibility, advance directives and other legal documents;

assuring continuity of individual/family care; and

payment to the long term care provider for room and board.