Wash. HCA Hospice Services Billing Guide, What happens when a client leaves hospice care without notice?

When a client chooses to leave hospice care or the client’s authorized health care

representative removes the client from hospice care and refuses hospice care

without giving the hospice agency a revocation statement as required by WAC

182-551-1360, the hospice agency must do all of the following:

• Inform and notify in writing HCA’s Hospice program within five business days

of becoming aware of the client’s or the authorized health care

representative’s decision

• Not bill HCA for the client’s last day of hospice services

• Fax a completed copy of HCA’s HCA/Medicaid Hospice Notification form, HCA

13-746, to HCA, hospice/PPC notification number at 360-725-1965 to notify

that the client is discharged from the hospice program, see Where can I

download HCA forms?

• Notify the client or the client’s authorized health care representative that the

client’s discharge has been reported to HCA

• Document the effective date and details of the discharge in the client’s

hospice record