WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #1135
Nursing Home Residency
When a resident of a Medicaid-enrolled SNF (skilled nursing facility) elects to receive hospice care services and the hospice has a
contract with that nursing home, the provider is required to notify ForwardHealth of the member's hospice election through the
ForwardHealth Portal or the Notification of Hospice Benefit Election (F-01008 (05/2023)) form. If a member enters a nursing
home after admission to a hospice, the provider is required to submit the Notification of Hospice Benefit Election form to
ForwardHealth.
The provider must also keep copies of the following in the member's record:
• Physician Certification/Recertification of Terminal Illness (F-01011 (08/2019))
• Election of Hospice Benefit for Members 20 and Under (F-01009A (12/2010)) or Election of Hospice Benefit for
Members 21 and Older (F-01009B (12/2010))
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
3f6a5960f468c93658390f94fdc42be1857c14beb3553acb8fa7811d959fa818
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