W. Va. BMS Provider Manual § 509.3.5

Hospice providers may use volunteers in defined roles and under the supervision of designated Hospice

employees. Volunteers may perform administrative functions or direct-care services as outlined in the

Federal Regulations. In the Hospice program, “employee” also refers to a volunteer under the jurisdiction

of the Hospice. All use of volunteers must be in accordance with 42 CFR §418.78 and §418.304 (b).

Volunteer hours of service must equal at least five percent of the hours of direct-member care furnished

by paid personnel, employed or contracted.

If a physician volunteers some services and is reimbursed by the Hospice for other services, the terms

and conditions of such service must be described in a written agreement or contract between the

physician and the Hospice.

Services provided by volunteers may not be billed to Medicaid when those services are provided at no

charge for individuals who are not eligible for Medicaid.

Examples of equitable ways for physicians to donate or volunteer services may include:

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Donating a percentage of their time; or

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Providing a particular service (e.g., treatment of decubitus ulcers or psychotherapy) or a particular

occurrence of a service (donating one visit per week/month, etc. to each member in their care).