W. Va. BMS Provider Manual § 509.3.1

Each Hospice must have an Interdisciplinary Team (IDT) composed of individuals who provide or

supervise the care and services offered by the Hospice. Each IDT must include at least the following

individuals in accordance with 42 CFR §418.56 and §418.64):

•

A Doctor of Medicine (MD) or Osteopathy (DO);

•

A registered nurse (RN);

•

A licensed social worker (LSW); and

•

A (pastoral or other) counselor.

The physician member of the IDT may be a volunteer or a Hospice employee, or the Hospice may contract

with the physician.

The Hospice must designate an RN who is a member of the IDT to provide coordination of care and

ensure continuous assessment of each member’s and family’s needs, and implementation of the

interdisciplinary plan of care.

The RN, LSW, and the (pastoral or other) counselor must be employees of the Hospice, or volunteers

under the supervision of designated employees of the Hospice.

If the Hospice has more than one IDT, it must identify a specifically designated IDT to establish policies

governing the day-to-day provision of Hospice care and services.

The Hospice must try to provide consistent IDT membership and assignment of Hospice Medicaid

members to an IDT. There must be a continuous and identifiable relationship between each Medicaid

member and his or her IDT.