WV · guidance
W. Va. BMS Provider Manual § 509.11.2
Billing and Reimbursement for Nursing Facility Hospice
Revenue Code:
0658
Service Unit:
Unit = 1 Day
Service Limit:
1 unit per day
Definition of Service: The West Virginia Medicaid program will remit to the Hospice provider 95% of the
daily rate which would have been paid to the nursing facility for care of the member had he or she not
elected Hospice coverage.
The Hospice will in turn reimburse the nursing facility for the cost of room and board, as identified in their
contract. The amount of reimbursement will be based on the nursing facility base per diem rate with the
Medicaid adjustment for the acuity of the member.
Services must be billed on a UB-04 paper form. A printout of the computerized report identifying the
specific case mix class of the individual must be attached. The Hospice must provide all of the claim
information to the BMS fiscal agent.
Provenance
- Source
- bms.wv.gov
- Retrieved
- 2026-10-01
- Edition
- bms-509-2020-05-01
- Content hash
bd55324dd27840e42e338cdfa462991575c31631bb2da7027b4a52d8ab568573
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