WA · guidance
Wash. HCA Hospice Services Billing Guide, How does HCA reimburse for Medicaid-Medicare dual eligible clients?
How does HCA reimburse for Medicaid-Medicare dual eligible clients?
HCA does not pay for any hospice care provided to a client covered by Medicare
Part A (hospital insurance).
• HCA may pay for hospice care provided to a client:
o Covered by Medicare Part B (medical insurance).
o Not covered by Medicare Part A.
For hospice care provided to a Medicaid-Medicare dual eligible client, hospice
agencies must bill:
• Medicare before billing HCA.
• HCA for hospice nursing facility room and board, using the nursing facility’s
NPI number in form locator 78 on the UB-04 claim form.
Provenance
- Source
- www.hca.wa.gov
- Retrieved
- 2026-10-02
- Edition
- hca-hospice-bg-2026-05-19
- Content hash
2475c3dbde85cadf0e2e873d2ad6f9370988befed5fde633d3fa99d7b322668d
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