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WV · guidance

W. Va. BMS Provider Manual § 509.8.2

Service Intensity Add-On (SIA) Payments

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

Revenue Code:

0651 (RHC)

Service Unit:

Unit = 15 minutes

Service Limit:

Minimum of 15 minutes up to a maximum of 4 hours per day (16 units)

Effective for Hospice services with dates of service on and after January 1, 2016, a SIA payment will be

made for social worker visits and nursing visits provided by an RN, when provided during RHC in the last

seven days of life. The SIA payment is in addition to the RHC rate.

The SIA payment is provided for visits of a minimum of 15 minutes and a maximum of four hours per day,

i.e. from one unit to a maximum of 16 units combined for both nursing visit time and/or social worker visit

time per day. The time of a social worker’s phone calls is not eligible for an SIA payment.

Provenance

Source
bms.wv.gov
Retrieved
2026-10-01
Edition
bms-509-2020-05-01
Content hash
6871a23208f2144a9777c568e906b908b080df1d78b6144af7c5a7984458006f
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