Wash. HCA Hospice Services Billing Guide, Should HCA be notified if Medicaid is not primary?

Yes, for clients who reside in a nursing facility or may be admitting to a nursing

facility and who have not yet applied for claims for Medicaid payment.

Notify HCA’s hospice program when there is a change in the client’s hospice

election status. If you need clarification or have questions, call HCA hospice

program (see Resources Available).

Medicaid clients with third-party liability

If a client has third-party liability (excluding Medicare) that covers nursing

services only, with no allowance for room and board, PA is not required before

providing services. Providers must separate services on to two different claims

and include an explanation of benefit (EOB) for each claim: nursing services on

one claim, room and board on another.