Hospice-How do I know which office to contact? HCS or CSO?
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Hospice-How do I know which office to contact? HCS or CSO?


Revised March 15, 2012



How do I know which office to contact? HCS or CSO?

HCS determines eligibility for hospice when clients are receiving services authorized by Home and Community Services (HCS) except when there is a TANF/family related medical program attached.

HCS services include medicaid personal care (MPC) or HCS Waiver services authorized by the HCS social service specialist. 

HCS determines eligibility for Hospice when one spouse is receiving services from HCS and the other spouse is in need of hospice. 

HCS does not retain nursing home cases once a nursing home client has made a election of hospice.  Upon receipt of the notice of election in a nursing home, the HCS office makes a program change to the hospice program and transfers the case to the specialty medical unit at CSD. (CSO 157).


EXAMPLE

Client is in a nursing home receiving services through HCS.  Client elects hospice.  Once a client has elected hospice, the nursing home service with HCS ends.  The case is changed from a L02 nursing home to a L22 hospice case by HCS staff.  The case is then transferred to CSO 157 specialty medical unit.  The client is still residing in the nursing facility, but the funding is through the hospice program. 


Contact information for the Central Medical Unit for hospice at CSD

For all other clients, the hospice program is currently specialized at the central medical unit (CMU) at CSO 157 in Seattle.  The central unit determines eligibility for the hospice program for clients who are not receiving HCS waiver services or HCS Medicaid Personal Care (MPC) services and for clients residing in Hospice Care Centers and nursing homes for whom there is a current hospice election.  NGMA requests for these clients will be completed by following the CSD NGMA process and not through HCS.

All hospice notifications statewide are faxed to the Health Care Authority's (HCA) MEDS unit where they are scanned into the document management systems (DMS). A copy is sent to the MPA notification unit to update the client information in the claims payment system and a copy is also sent to the CMU or HCS office of record for review.

Medical only applications received may be routed via DMS to the CSO 157 @HSP for processing.

Applications received in the CSO that include requests for other programs are processed by the local office for other programs and by the CMU for Hospice. Set a same day tickler to CSO 157 @HSP for application. 

Applications received where the client has requested hospice services are only handled by the central medical unit when there is a 13-746 DSHS/Medicaid Hospice notification form in the client's record showing a current hospice election.  If the client has indicated hospice on the application but no 13-746 is in the client record, the CMU will contact the client, authorized representative or hospice agency to confirm whether the client has elected hospice or not, prior to denying the application for the hospice program or transferring to another office if other LTC services are requested. 

CMU contact information:

 

DSHS - CMU
PO Box 34350
Seattle, WA 98124-9511

Phone: Toll Free 1-877-501-2233. 

 

Agents will answer general inquiries based on the Customer Service Center (CSC) Reference Guides and set ticklers to the Specialized Medical Teams for follow up or call back need.

 

Modification Date: March 15, 2012