(1) The medicaid agency's hospice program is a twenty-four hour a day program that allows a terminally ill client to choose physical, pastoral/spiritual, and psychosocial comfort care and a focus on quality of life. A hospice interdisciplinary team communicates with the client's nonhospice care providers to ensure the client's needs are met through the hospice plan of care. Hospitalization is used only for acute symptom management.
(2) A client, a physician, or an authorized representative under RCW 7.70.065
may initiate hospice care. The client's physician must certify the client as terminally ill and appropriate for hospice care.
(3) Hospice care is provided in a client's temporary or permanent place of residence.
(4) Hospice care ends when:
(a) The client or an authorized representative under RCW 7.70.065
revokes the hospice care;
(b) The hospice agency discharges the client;
(c) The client's physician determines hospice care is no longer appropriate; or
(d) The client dies.
(5) Hospice care includes the provision of emotional and spiritual comfort and bereavement support to the client's family member(s).
(6) Medicaid agency-approved hospice agencies must meet the general requirements in chapter 182-502
WAC, Administration of medical programs—Providers.
[Statutory Authority: RCW 41.05.021
, Section 2302 of the Patient Protection and Affordable Care Act of 2010 (P.L. 111-148), and Section 1814 (a)(7) of the Social Security Act. WSR 12-09-079, § 182-551-1000, filed 4/17/12, effective 5/18/12. WSR 11-14-075, recodified as § 182-551-1000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090
. WSR 05-18-033, § 388-551-1000, filed 8/30/05, effective 10/1/05. Statutory Authority: RCW 74.09.520
, 42 C.F.R. 418.22 and 418.24. WSR 99-09-007, § 388-551-1000, filed 4/9/99, effective 5/10/99.]