Learning Resources
Frequently Asked Questions
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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. | |
Does the Nursing Facility (NF), Intermediate Care Facility (ICF) / Mental Retardation (MR) or Swing Bed facility have to wait for a denial from DHHS before submitting an invoice to the hospice agency?Yes. The denial must be attached. | |
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? | |
How long does the enrollment process take?Enrollment applications will be processed within thirty (30) business days from the date of receipt. The thirty (30) business day timeframe may be exceeded for enrollment applications that require: additional information, a site visit, a contractual agreement, or are submitted with sanction information. | |
How can we get an enrollment status update?Contact the Provider Service Center (PSC) (888) 289-0709, option 4 for Provider Enrollment. Please have your Reference ID number available. | |
Why did my enrollment application get rejected after I made the corrections I was told to?A provider is notified about rejections via the Enrollment Rejection Letter. The rejection letter indicates the reason(s) for the rejection. For further assistance, contact the Provider Service Center at 1 (888) 289-0709, option 4. | |