How does Hospice affect CMI score

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Specializes in LTC.

I work in a Medicaid only LTC(no skilled residents). In the past we have not taken Hospice patients but we are about to start. How will hospice patients impact the CMI. I know they will require an MDS just like everyone else but being that their stay is paid to the hospice company and not the nursing home why would their RUG still impact my CMI #? Thanks in advance for any insight!

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Specializes in ER CCU MICU SICU LTC/SNF.

Medicaid hospice reimbursement may be state-specific. When you code O0100K: Hospice care, the state may exclude or include the resident from the case mix, or adjust the rate.

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Specializes in LTC.
On 7/20/2019 at 5:37 PM, Talino said:

Medicaid hospice reimbursement may be state-specific. When you code O0100K: Hospice care, the state may exclude or include the resident from the case mix, or adjust the rate.

Talino, thank you for you response. I have looked on my state website (MS) and can't seem to find an exact answer. Frustrating, you wouldn't think that answer would be that hard to locate.

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Specializes in ER CCU MICU SICU LTC/SNF.

You may want to direct the inquiry here for your state's case mix reimbursement contact.

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