I did not receive my TAD. Can you fax/mail a copy? |
Should claims returned on Form 017 or 017CI without processing be re-filed? |
What happens if my DHHS Form 181, CRCF 01 or IPC form is not received on time or is not received at all? |
Will every Nursing Facility or Intermediate Care Facility (ICF) / Mental Retardation (MR) have the same rate?No. |
Is the date of discharge for Nursing Facilities or Intermediate Care Facility (ICF) / Mental Retardation (MR) room and board Medicaid reimbursable?Nursing Facilities and ICFs/MR are not reimbursed for the date of discharge. Nursing Facilities and ICFs/MR should not invoice hospice agencies for the date of discharge. The date of hospice discharge for a reason other than death or transfer to another facility is billed to Medicaid. For example: If the person was in an NF or ICF/MR facility from Feb. 1 to Feb. 23, 2013, and was enrolled in hospice from Feb. 1 to Feb. 14, 2013, the hospice would pay NF or ICF/MR the room and board for Feb. 1 to Feb. 13, 2013. Medicaid would pay the NF or ICF/MR for dates of service from Feb. 14 to Feb. 22, 2013. |
Who is responsible for pharmaceutical costs as it relates to the terminal illness?The hospice agency is responsible for pharmaceutical costs related to pain management and symptom control of the terminal illness. |
What happens if the NF or ICF/MR* accepts a hospice resident while Medicaid eligibility is pending and it is later determined that the resident is not eligible? Who is responsible for room and board payment to the NF or ICF/MR?The hospice is responsible for the room and board amount. It is imperative that the hospice social worker continues to pursue eligibility for the resident to decrease the financial risk in the event the resident is ultimately not eligible for nursing facility benefits. *Nursing Facility (NF) or Intermediate Care Facility (ICF) / Mental Retardation (MR) |
What happens if the Nursing Facility (NF) or Intermediate Care Facility (ICF) / Mental Retardation (MR) is paid in error for hospice dates of service?The nursing facility must submit a request for an adjustment. The adjustment process must be completed before the hospice can be paid for room and board dates of service. |
When are TADs available for providers to view on the Web Tool? |
When are the DHHS Form 181, CRCF 01 and IPC forms due back to MCCS? |