|
17.5 Reimbursement
Hospice services may be reimbursed at a per diem rate at the lower of the billed amount or the amount allowed by the Texas Medicaid Program up to the maximum allowed per diem rate. The per diem rate does not cover care for conditions or illnesses unrelated to the terminal diagnosis.
If nutritional supplements are the client's sole source of nutrition, the supplements are included in the per diem rate.
Total parenteral nutrition (TPN) provided to a client on hospice may be reimbursed separately according to the TPN policy.
Hospice and home health services may not be reimbursed on the same date of service, with the exception of the initial date of service when the client is being discharged from home health service and admitted to hospice service.
|
