Tex. HHSC Medicaid Hospice Provider Manual § 6300

Revision 08-1; Effective November 12, 2008

A Medicaid recipient may elect the Medicaid Hospice Program:

in a home setting and be admitted to an NF as an individual on hospice at a later time;

and be admitted to an NF as an individual on hospice at the same time; or

while residing in an NF when the hospice election is made.

The NF and hospice staff should maintain ongoing communication regarding an individual's care and changes in condition. Both entities must maintain hospice records in the individual's current clinical record. Coordinate any changes in the hospice plan of care with the NF staff.

The Medicaid hospice provider is responsible for all items outlined under Section 6200, Hospice Responsibilities in Long Term Care Facilities, as well as the following:

collecting and managing copay;

completing Minimum Data Set (MDS) assessment with the NF nursing staff, and maintaining copies of the assessment in the individual's hospice record and current clinical record at the NF;

ensuring that the MDS is electronically submitted to TMHP within the required time frames as outlined in 40 TAC §30.60 and 40 TAC §19.801.

The NF is responsible for the following areas:

managing the trust fund.

completing the MDS with the hospice nursing staff.

ensuring that the MDS is electronically submitted to TMHP within the required time frames.

completing Form 3618, Resident Transaction Notice, and submitting it to TMHP, indicating a discharge to hospice. A copy is kept on file with the NF.

all NF requirements for participation in the Medicaid and Medicare program.