Medi-Cal: hospice providers: forms.
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Majority
Fiscal committee
No
Appropriation
No
Current location
In Floor Process
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill establishes a standardized process for Medi-Cal hospice providers to notify the Department of Health Care Services when a Medi-Cal fee-for-service member chooses hospice care. Specifically, it requires hospice providers to use a designated online form within five calendar days of the member’s election, alongside counseling, informed consent, and a separate election notice form. The bill clarifies that this process applies only to the fee-for-service Medi-Cal system and directs managed care plans to follow their own submission requirements.
Key provisions
- Hospice providers must use a specific online form to notify the Department of Health Care Services of a Medi-Cal member’s election to receive hospice services.
- The online form must be submitted within five calendar days of the member’s election.
- Submission of the form must be accompanied by counseling, informed consent, and a completed election notice form.
- The department may designate a specific form for this notification.
- The process applies only to Medi-Cal fee-for-service; managed care plans must follow their own submission procedures.
- Submission of the form is required for reimbursement eligibility, but doesn’t guarantee it.
- Claims for reimbursement require department validation and application of hospice billing codes.
- Hospice providers are encouraged to retain email confirmations of timely filing.
Who is affected
Bill text
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