Hospice Routing Home Care and Service Intensity Add-on Payments Billing Changes

HCA Apple Health

PROVIDER ALERT

Washington Apple Health (Medicaid) has implemented fee-for-service hospice billing changes retroactive to January 1, 2016, for routine home care (RHC) and service intensity add-on (SIA) payments. 

These changes were made to comply with Centers for Medicare and Medicaid Services requirements. The Hospice Services Provider Guide, effective June 1, 2016, has been updated to reflect the changes. 

Hospice providers that submitted claims for RHC services beginning January 1, 2016, through May 31, 2016, must resubmit their RHC claims under the new billing requirements.

If you have questions, please contact ProfessionalRates@hca.wa.gov.