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  • Children’s Long-Term Support (CLTS) Program Providers and County Waiver Agencies: The CLTS Operations Team is available for your questions about submitting prior authorizations (PAs) or claims for CLTS services. Reach the CLTS Operations Team at 844-942-5870 or CLTSOperations@gainwelltechnologies.com.
Hospice Provider Publications

Hospice Provider Publications

These publications are available only as PDFs. You will need Adobe Reader® to view these files.

Update
Number
Update Topics and Release Date
2018
2018-43 Changes to Certain Durable Medical Equipment Maximum Allowable Fees, 12/4/18
2018-37 Hospice Reimbursement Rate Changes, 10/12/18
2018-27 Clarification of Nursing Home Policy for Private Rooms, 8/16/18
2017
2017-35 Hospice Reimbursement Rate Changes, 10/31/17

November 29, 2017: This Update has been revised since its original publication. The note in the Attachment has been revised to clarify the addresses on which the procedure and revenue codes are based.
2016
2016-47 Hospice Reimbursement Rate Changes, 10/24/16
2016-16 Changes to Coverage Policy for Testing for Drugs of Abuse, 4/18/16
2015
2015-64 Changes to Reimbursement for Hospice Routine Care Services, 12/21/15
2015
2015-52 Hospice Reimbursement Rate Changes, 10/20/15
2014
2014-56 Hospice Reimbursement Rate Changes, 9/30/14

July 1, 2015: This Update has been revised since its original publication. The reimbursement rates for revenue codes 0651, 0652, and 0655 have been revised. Revisions are on page 2 and are indicated in red.
2013
2013-64Revisions to Companion Guide for the 837 Health Care Claim: Institutional Transaction, 11/25/13
2013-61Reminder: Providers Are Required to Submit Notification of Hospice Benefit Election Form, 11/5/13
2013-55Hospice Reimbursement Rate Changes, 10/15/13
2012
2012-58Hospice Reimbursement Rate Changes, 10/9/12
This Update has been revised since its original publication.
November 1, 2012: Rock County's reimbursement rates for revenue codes 0651, 0652, 0655, and 0656 have been revised. Revisions are on page 2 and are indicated in red.
October 24 2012: The reimbursement rates for revenue code 0655 have been revised for all counties. Additionally, Rock County's reimbursement rates for revenue codes 0651, 0652, and 0656 have been revised. Revisions are on page 2 and are indicated in red.
2012-21Nursing Home Care Determinations and Hospice Policies for Nursing Home Residents, 6/6/12
2011
2011-70Hospice Reimbursement Rate Changes, 11/1/11
2011-53Revisions to UB-04 Claim Form Instructions Resulting from HIPAA ASC X12 Version 5010 Implementation, 9/14/11
2010
2010-121Members 20 and Under May Elect Hospice and Continue with Active Treatment, 12/1/10
2010-97Clarification for Extraordinary Claims Submission for Professional Services, 11/1/10
2010-87Hospice Reimbursement Rate Changes, 10/1/10
2010-50Hospice Services Covered Under the BadgerCare Plus Basic Plan, 6/1/10
2009
2009-81Hospice Services Covered by BadgerCare Plus Core Plan, 12/1/09
2009-66Hospice Reimbursement Rate Changes, 10/1/09
2009-40Claims for Outpatient Hospital Services Do Not Require Value Codes 80 and 81 (Covered and Noncovered Days), 7/1/09
2009-35Hospice Reimbursement Rate Changes, 6/1/09
2009-14Hospice Services Under the BadgerCare Plus Benchmark Plan Do Not Have Copayments, 4/1/09
2008
2008-194Hospice Reimbursement Rate Changes, 11/1/08
2008-152ForwardHealth Announces Electronic Hospice Election Form Submission Available on the ForwardHealth Portal and Revisions to Paper Hospice Forms, 8/1/08
2008-104ForwardHealth Announces Changes to Paper and Electronic Claims Submission for Hospice Providers, 7/1/08
2008-41Changes to Patient Liability for Hospice, Inpatient Hospitals, and Nursing Home Providers, 6/1/08
2007
2007-106Hospice Services Under BadgerCare Plus, 12/1/07
2007-68Adjusted Hospice Reimbursement Rates, 10/1/07
2007-60Hospice Reimbursement Rate Changes, 9/1/07
2007-49Change to the UB-04 Paper Claim Form Instructions, 7/1/07
2007-21New UB-04 (CMS 1450) Claim Instructions for Hospice Services, 2/1/07
2006
2006-91Hospice Reimbursement Rate Changes, 11/1/06
2006-82Wisconsin Medicaid Using Automated Algorithm to Determine Eligibility for Nursing Home Care, 9/1/06
2006-58Wisconsin Medicaid Reimburses Selected Services Provided Through Telemedicine, 6/1/06
2006-43Hospice Reimbursement Rate Changes, 5/1/06
2005
2005-26Introducing the Revised Prior Authorization/Oxygen Attachment and Clarifying Medicaid Coverage of Oxygen Services, 5/1/05
2005-11Wisconsin Medicaid Accepts Physicians� Stamped Signatures from Home Care and Hospice Providers, 2/1/05
2004
2004-85Hospice Reimbursement Rate Increase, 11/1/04
2004-65Training for New and Current Users of Provider Electronic Solutions (PES) Software Offered in September and October, 8/1/04
2004-57Submitting Adjustment Requests for Retroactive Rate Changes, 7/1/04
2004-53Submitting Prior Authorization Requests Via the Web for Selected Services, 6/1/04
2004-50Introducing the Prior Authorization/Oxygen Attachment, 6/1/04
2003
2003-166Oxygen-related services coverage revised, 12/1/03
2003-161Hospice reimbursement rate increase, 12/1/03
2003-93Effective dates for claims submission changes as a result of HIPAA for hospice services, 8/1/03
2003-43Wisconsin Medicaid revises policies for oxygen-related services, 6/1/03
2003-38Changes to local codes and paper claims for hospice services as a result of HIPAA, 6/1/03
2003-32Changes to patient liability billing due to HIPAA, 6/1/03
2002
2002-64Hospice reimbursement rate increase, 11/1/02
2001
2001-43Hospice reimbursement rate increase, 12/1/01
2001-17Hospice reimbursement rate increase, 6/1/01
2000
2000-59Hospice rate adjustments, 11/1/00
2000-51Billing personal care for hospice recipients, 11/1/00
2000-20One percent reimbursement increase for noninstitutional services — Effective July 1, 2000, 7/1/00
1999
99-53Hospice rate adjustments, 12/1/99
99-30Hospice rate increase, 7/1/99
99-21Hospice handbook replacement pages, 6/1/99
1998
98-02Hospice rate increase, 1/14/98
1996
96-43Hospice services: patient liability, required forms, and commonly asked questions, 11/20/96
96-08New tuberculosis (TB) benefit, 3/27/96
 
 
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