Source Program and Hospice at the same time???

[AtlantaRN, RN]

Can a patient receive both Source and HOspice at the same time? 40 yr old with brain cancer.....Source is at the home 3 days a week, so manager is saying we are to visit 2 days a week.

I thought source was to maximize outcomes for the elderly or debilitated with chronic illnesses. From what the state website says, medicare pays $1500 flat to a source provider. I don't see how we can then bill a perdiem for hospice.

Thanks for your help.

[tewdles, RN]

I am not certain what "source" is, please explain...

[curiousauntie]

Would "Source" be a MediCAID program? (as opposed to a MediCARE program) In my state we have a similar Medicaid program that gives nurses aide hours to the patient and as long as the hospice aide is not in the home at the same time, we are OK. This program has the same mandate, to allow the elderly or disabled to remain in their home, and not have to be admitted to a long term care facility. As they are funded by different sources, it is not "double dipping", but good use of resources! It is a bit the same as a patient in a nursing home who has Medicare and Medicaid where Medicaid pays the room and board to the nursing home and hospice is providing the auxiliary care.

[AtlantaRN, RN]

yes-source is the above..... thank you for your help===i didn't understand and my branch director and mcp have bigger fish to fry than explain to me.

[curiousauntie]

@ AtlantaRN

Glad I could help. A lot of the stuff I know about Medicare and Medicaid is due to the many years I worked in Sub-Acute and did most of my own discharge planning. I learned a lot playing a social worker because the actual social worker did not like to work. So after the first couple of discharges got messed up because she had not done her part, I just started to do it myself. That knowledge has really come in handy in my hospice work.

[WI_home_RN]

i'm not sure what "source program" is but i work private duty for a patient who has medicare/medicaid. he receives 24/7 pdn care funded by the state of wisconsin. he was just placed on hospice a few days ago and our two programs are working together in harmony, giving the patient the best care possible and allowing him to live and stay at home until the end. pdn is 24/7 and hospice rns come in 2x/week with hospice hhas whenever we need them although they can only work during the hours of 8 am and 3 pm. i thought that was strange that the hhas have set working hours. this upsets us pdns who work nites with the patient since he sleeps all day and is awake all night and we need more help overnite.

[Hospice Nurse LPN, BSN, RN]

i'm not sure what "source program" is but i work private duty for a patient who has medicare/medicaid. he receives 24/7 pdn care funded by the state of wisconsin. he was just placed on hospice a few days ago and our two programs are working together in harmony, giving the patient the best care possible and allowing him to live and stay at home until the end. pdn is 24/7 and hospice rns come in 2x/week with hospice hhas whenever we need them although they can only work during the hours of 8 am and 3 pm. i thought that was strange that the hhas have set working hours. this upsets us pdns who work nites with the patient since he sleeps all day and is awake all night and we need more help overnite.

our hha's work from 8:30 - 4:30. they aren't on call like the nurses are.

[curiousauntie]

Our HHA's work from 8:30 - 4:30. They aren't on call like the nurses are.

It is the same with the hospice I work for, and all of the ones around me. If, and that is a big if, we have a continuous care case, which is very rare, they may work at night, but usually we don't ask them to as they have 4 or 5 patients to see the next day. It is much easier to reschedule a nursing visit without a "missed visit" then a home health aide visit as most of our patients are seen 5 days a week. And those patients actually need the home health aide more than the nurse, especially the "little old lady" who's only care giver may be her equally "little old husband"!

[itsmaymay]

I'm new to this site, so just saw this thread. I work in the greater Atlanta area also. Source is a program that is NOT compatible with hospice. You can have one or the other. CCSP is a state funded program that a patient can receive along with hospice. Just be sure services are not duplicated on the same days or times with both programs. I suggest contacting the CCSP case manager to develop a collaborative POC. Hope this helped!:)