 |
 |
|
|
The Department of Social Services requested a State Plan Amendment from the Centers for Medicare and Medicaid Services (CMS formerly HCFA) to allow for a hospice benefit to be added to the South Dakota Medical Assistance Program. This request has been approved and was effective January 1, 2002.
Medical Services created the Hospice Provider Manual for hospice providers to reference proper billing procedures and to help answer any questions providers may have. Please pay special attention to the portion of the manual that explains the billing requirements for hospice claims submitted to Medical Services.
Please note: The long-term care claim form will no longer be required for billing room and board for residents of nursing facilities who have elected the hospice benefit. The UB-04 claim form should be used when billing all hospice claims. The Hospice Provider Manual is not meant to replace the full hospice coverage criteria, which is specified in the State Medicaid Manual, Sections 4305 through 4308. Visit the CMS web site for the criteria.
Contact Medical Services, Provider Enrollment at 605-773-3495 to receive a hard copy of the Hospice Provider Manual. Enroll as a Hospice provider.
The hospice election forms with physician certification must be submitted to the following address in order that required changes may be made to the recipient's files to enable reimbursement of hospice claims.
Department of Social Services
Division of Medical Services
700 Governor's Drive
Pierre, SD 57501-2291