Wash. Admin. Code § 182-551-1350

Current through Register Vol. 24-23, December 1, 2024
Section 182-551-1350 - Discharges from hospice care
(1) A hospice agency may discharge a client from hospice care when the client:
(a) Is no longer certified for hospice care;
(b) Is no longer appropriate for hospice care; or
(c) The hospice agency's medical director determines the client is seeking treatment for the terminal illness outside the plan of care (POC).
(2) At the time of a client's discharge, a hospice agency must:
(a) Within five working days, complete a medicaid hospice notification form (HCA 13-746) and forward the form to the medicaid hospice program manager (see WAC 182-551-1400 for additional requirements), and a copy to the appropriate DSHS home and community services office (HCS) or community services office (CSO);
(b) Keep the discharge statement in the client's hospice record;
(c) Provide the client with a copy of the discharge statement; and
(d) Inform the client that the discharge statement must be:
(i) Presented with the client's current services card when obtaining medicaid covered health care services or supplies, or both; and
(ii) Used until the medicaid agency removes the hospice restriction from the client's information available online at https://www.waproviderone.org.

Wash. Admin. Code § 182-551-1350

Statutory Authority: RCW 41.05.021, Section 2302 of the Patient Protection and Affordable Care Act of 2010 ( P.L. 111-148), and Section 1814(a)(7) of the Social Security Act. 12-09-079, §182-551-1350, filed 4/17/12, effective 5/18/12. 11-14-075, recodified as §182-551-1350, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. 10-19-057, § 388-551-1350, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. 05-18-033, § 388-551-1350, filed 8/30/05, effective 10/1/05. Statutory Authority: RCW 74.09.520, 74.08.090, 42 C.F.R. 418.22 and 418.24. 99-09-007, § 388-551-1350, filed 4/9/99, effective 5/10/99.