A hospice shall:
(a) Be certified and continue to meet the conditions for participation as a hospice under Title XVIII of the Social Security Act, Section 1861(dd), (42 U.S.C. 1395x(dd)).(b) Make available and provide core services and other services, and utilize volunteers as specified in 42 Code of Federal Regulations, Part 418, Subpart C, in accordance with the conditions specified. Reference to Medicare beneficiaries shall apply equally to Medi-Cal beneficiaries.(c) Not discontinue or diminish care provided to a Medi-Cal beneficiary based on expiration of the beneficiary's final election period.(d) Make available to the Department complete, accurate medical and fiscal records, signed and dated by appropriate staff, to fully substantiate all claims for hospice services submitted to the Department, and shall permit access to all records and facilities for the purpose of claims audit, program monitoring and utilization review.(e) Notify the Department of Health Services by mail postmarked within two working days of approval of hospice benefits for an individual by a Medi-Cal Consultant.Cal. Code Regs. Tit. 22, § 51250
1. New section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No. 44). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-88.
2. Certificate of Compliance including amendment of subsections (b) and (e) transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No. 15). Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference Sections 14053 and 14132, Welfare and Institutions Code.
1. New section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No. 44). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-88.
2. Certificate of Compliance including amendment of subsections (b) and (e) transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No. 15).