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WV · guidance

W. Va. BMS Provider Manual § 509.13

Care Plan Oversight

activein force · 2020-05-01 – presentcompiled-edition

The care plan oversight (CPO) consists of physician supervision of members receiving Hospice care

when the member requires complex or multidisciplinary care modalities with ongoing physician

involvement.

The BMS provides payment for one CPO service per calendar month, per member, per provider.

CPO services are also not payable to physicians having a five percent or greater ownership interest in or

a relationship with a Hospice provider that is directly providing services to Medicaid members.

The physician who bills for CPO services must be the same physician who signed the Hospice plan of

care.

Provenance

Source
bms.wv.gov
Retrieved
2026-10-01
Edition
bms-509-2020-05-01
Content hash
0340154223598421fb9d9603f3107626dd64474af14fd1b5042c8dce1cb29c04
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