Clinical Coverage Policies 3D - Hospice Services Policy Update

Author: Home Care Services/Community Based Services

Effective Jan. 15, 2018, updates to Clinical Coverage Policy 3D, Hospice Services, are approved. The amended policy is posted to the North Carolina Medicaid website.

Revisions to the policy include the implementation of:

  • Hospice benefit period requirements
  • Service intensity add-on payments for hospice social worker and nursing visits provided during the last seven days of life, when provided on routine home care days, and
  • Implementation of the two-tier routine home care rates structure, which authorizes a higher rate in the first 60 days of hospice election and a lower rate for days 61 and beyond.

Home Care Services/Community Based Services
DMA, 919-855-4380

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