1. (1) A hospice agency may discharge a client from hospice care when the:

   1. (a) Client is no longer certified for hospice care;
   2. (b) Client is no longer appropriate for hospice care; or
   3. (c) Hospice agency's medical director determines the client is seeking treatment for the terminal illness outside the plan of care (POC).

2. (2) At the time of a client's discharge, a hospice agency must:

   1. (a) Within five business days, complete a Medicaid Hospice Notification form (HCA 13-746) and forward the form to the medicaid hospice program manager (see WAC 182-551-1400 for additional requirements), and a copy to the appropriate DSHS home and community services office (HCS) or community services office (CSO);
   2. (b) Keep the discharge statement in the client's hospice record;
   3. (c) Provide the client with a copy of the discharge statement; and

   4. (d) Inform the client that the discharge statement must be:

      1. (i) Presented with the client's current services card when obtaining medicaid-covered health care services or supplies, or both; and
      2. (ii) Used until the medicaid agency removes the hospice restriction from the client's information available online through the ProviderOne system.

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 25-16-015, s 182-551-1350, filed 7/25/25, effective 9/1/25. 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, § 182-551-1350, filed 4/17/12, effective 5/18/12. WSR 11-14-075, recodified as § 182-551-1350, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-551-1350, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 05-18-033, § 388-551-1350, filed 8/30/05, effective 10/1/05. Statutory Authority: RCW 74.09.520, 74.08.090, 42 C.F.R. 418.22 and 418.24. WSR 99-09-007, § 388-551-1350, filed 4/9/99, effective 5/10/99.]