Revised Regulations and Billing Guide for MassHealth Hospice

MassHealth has revised their hospice regulations to reflect changes in CMS hospice rules. The new rules require hospice providers to coordinate their hospice services with the Medicaid personal care benefit, as appropriate. MassHealth members no longer have to waive their PCA services if they elect the hospice benefit.

Also, physicians signing the hospice certification statement will be required to personally compose a narrative explaining the clinical findings that support life expectancy of six months or less.

MassHealth has also revised the billing guide for the UB-04 which is posted on the MassHealth website.

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