The Department enters into a contract
(provider agreement) to reimburse Medicare certified hospice providers in
Oregon for services provided in Medicaid certified nursing facilities under the
Medicare-certified hospice provider must have a written contract with the
nursing facility; and
(B) A copy
of the completed contract must be made available to the Department upon
hospice provider must have a completed, written contract (provider agreement)
with the Department for nursing facility-based hospice services prior to being
determined eligible for reimbursement.
(a) The Department pays the hospice provider
a rate equal to 100 percent of the rate that the nursing facility would
(b) The hospice
provider is solely responsible for reimbursing the nursing facility.
(c) Reimbursement for services provided under
this rule is available only if the recipient of such services is
Medicaid-eligible, Medicare hospice eligible, and been found to need nursing
facility services through the Pre-Admission Screening process.
Or. Admin. R.
SSD 13-1993, f. 12-30-93,
cert. ef. 1-1-94; SPD 9-2006, f. 1-26-06, cert. ef. 2-1-06; SPD 9-2013(Temp),
f. 4-29-13, cert. ef. 5-1-13 thru 10-28-13; SPD 35-2013, f. & cert. ef.
Stat. Auth.: ORS
Stats. Implemented: ORS