Authority: IC 12-15-1-10; IC 12-15-21-2; IC 12-15-40

Affected: IC 12-15

Sec. 8. Services covered within the hospice per diem reimbursement rates include the following:

1. (1) Nursing care provided by or under the supervision of a registered nurse.
2. (2) Medical social services provided by a social worker who has at least a bachelor's degree and who is working under the supervision of a physician.

3. (3) Physicians' services provided by the medical director or physician member of the interdisciplinary team that may be characterized as follows:

   1. (A) General supervisory services.
   2. (B) Participation in the establishment of the plan of care.
   3. (C) Supervision of the plan of care.
   4. (D) Periodic review.
   5. (E) Establishment of governing policies.
4. (4) Counseling services provided to the member and the member's family or other person caring for the member.
5. (5) Short term inpatient care provided in a hospice inpatient unit, participating hospital, or nursing home, subject to the limits in 405 IAC 1-16-3.
6. (6) Medical appliances and supplies, including palliative drugs, that are related to the palliation or management of the member's terminal illness.
7. (7) Home health services furnished by qualified aides.
8. (8) Homemaker services that assist in providing a safe and healthy environment.
9. (9) Physical, occupational therapy, and speech-language pathology services provided for purposes of symptom control.
10. (10) Inpatient respite care, subject to the limitations in 405 IAC 1-16-2.
11. (11) Room and board for members who reside in long term care facilities, as set out in 405 IAC 1-16-4.
12. (12) Any other item or service specified in the member's plan of care, if the item or service is a covered service under the Medicare program.

(Office of the Secretary of Family and Social Services; 405 IAC 5-34-8; filed Mar 9, 1998, 9:30 a.m.: 21 IR 2382; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA; readopted filed Jul 28, 2022, 2:21 p.m.: 20220824-IR-405220205RFA; readopted filed May 30, 2023, 11:54 a.m.: 20230628-IR-405230292RFA)