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Home >> Division of Communities And Facilities >> Hospice
HospiceYou may reach the Medicaid Hospice Program during normal business hours. The fax number if 803-255-8209. The Hospice Program Manager will be happy to answer any questions you may have on program policies and claim resolutions. Effective February 15, 2010 all Medicaid hospice providers, must access their remittance packages via the Web Tool. Remittance advices and ECFs will no longer be mailed. Please see the Medicaid Bulletin dated November 13, 2009. To access the Web Tool, see: www.webclaims.scmedicaid.com To view the Medicaid Bulletin, see: www.scdhhs.gov/whatsnew.asp Effective immediately, Ms. Barbara Seiser, RN, BSN is the contact person for the Medicaid only Hospice Prior Authorizations. Barbara can be reached at 803-898-3364. Department of Facility Services Contact Information Nicole Mitchell-Threatt, Department Head Mitcheln@scdhhs.gov Telephone: (803) 898-2689 Fax: (803) 255-8209 George Howk, Program Coordinator HowkG@scdhhs.gov Telephone: (803) 898-3023 Fax: (803) 255-8209 NFs, ICF/MR and Swingbed Facilities Cindy Pedersen, Program Coordinator Pedersen@scdhhs.gov Telephone: (803) 898-2691 Fax: (803) 255-8209 NFs, ICF/MR and Swingbed Facilities Dawna Keith, Program Coordinator KeithD@scdhhs.gov Telephone: (803) 898-2688 Fax: (803) 255-8209 Hospice, Resident Care Specialist, Paid Feeding Assistant Program Debbie Miller, Registered Nurse MillerDB@scdhhs.gov Telephone: (803) 315-1366 Fax: (803) 364-0462 SC Nurse Aide Registry, Nurse Aide Training and Testing Evaluator Barbara Seiser, Registered Nurse Seiser@scdhhs.gov Telephone: (803) 898-3364 Fax: (803) 255-8209 Hospice Prior Authorization, SC Nurse Aide Registry, Nurse Aide Training and Testing Evaluator Provider ManualMedicaid Hospice Provider ManualBilling for Nursing Facility Room and Board Training Manual Medicaid BulletinsSCDHHS will no longer mail paper Medicaid Bulletins. Starting November 1, 2008 Medicaid Bulletins will only be distributed electronically through e-mail and available on this site. To receive future Medicaid Bulletins via e-mail, you must Subscribe to the Provider listservHospice Program FormsMedicaid Hospice Election Form, SCDHHS Form 149Medicaid Hospice Prior Authorization Form SCDHHS Form 149A Most Common Mistakes When Submitting Medicaid Hospice Election Forms Medicaid Hospice Physician Certification/Recertification Form, SCDHHS Form 151 Medicaid Hospice Discharge Form, SCDHHS Form 154 The Reverse side must be printed on all Medicaid Hospice Discharge Forms Medicaid Hospice Revocation Form, SCDHHS Form 153 Medicaid Hospice Provider Change Request Form, SCDHHS Form 152 Provider EnrollmentHospice Provider Enrollment Procedures - PolicySee Provider Manual SCDHEC Procedures For Licensing Hospice Programs ReimbursementHospice rates by county FY 10/09 - 09/10Hospice rates by county FY 10/08 - 09/09 Section 3 of the Hospice Provider Manual, Billing Procedures Billing for Nursing Facility Room and Board Training Manual Paper Claim Submission of Claim Form CMS-1500: Paper claims are mailed to Medicaid Claims Receipt at the following address: Medicaid Claims Receipt Post Office Box 1412 Columbia, SC 29202-1412 Billing for Dually Eligible Recipients: When a beneficiary has both Medicare and Medicaid, Medicare is considered to be the primary payer. Services rendered to persons who are certified dually eligible for Medicare/Medicaid must be billed to Medicare first. See Section 3, pages 3-1 and 3-2 of the Hospice Provider Manual Electronic Billing For Hospice Services Electronic Data Interchange (EDI)or see Section 3 page 3-3 of the Hospice Provider Manual Coordination Between Hospice and CLTC Medicaid Recipient EligibilityTo Check Medicaid eligibility: call 1-800-809-3040 or use the Web Tool.Hospice Eligibility: In order for a Medicaid beneficiary to be eligible to elect hospice care under Medicaid, that beneficiary must be certified as being terminally ill. An individual is considered terminally ill if he or she has a medical prognosis that his or her life expectancy is six months or less if the disease runs its normal course. Arrange Transportation Fraud & Abuse Hotline 1-888-364-3224Hospice ReferencesCarolina Center for Hospice and Palliative CareHospice Foundation of America Beneficiary InformationMedicaid Overview and applicationMedicaid Covered Services |  |
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