Hospice At Home
Hospice strives to empower and enable individuals to remain in the familiar surroundings of their own homes for as long as is possible and appropriate.
Because a patient's home may not be his/her personal residence, Hospice may offer home care services in a variety of facility settings appropriate to the patient's care needs. This could be a personal care home, group home or nursing home. All services that may benefit the patient will be coordinated with the primary caregiver. If the patient lives in a facility, services will be coordinated with the facility staff.
Hospice In Nursing Facilities
Hospice patients in nursing facilities are entitled to all the same privileges given to Hospice patients at home.
Patients using regular Medicare for their nursing home stay are not eligible for coverage under Hospice Medicare benefits. However, they may still qualify for self-paid Hospice services.
Patients with Medicare Part-A who are privately paying the nursing home may use their Hospice Medicare Benefit for Hospice services in the nursing home setting.If the patient is Medicare/Medicaid eligible, then Medicaid will pay for nursing home room and board and Medicare will pay for the Hospice benefits.
Hospital Inpatient Respite
In the event that the family would benefit relief in care giving, the patient may be moved to a facility providing such care. Respite care for the patients will be provided directly under contract with a care facility and Hospice assumes financial responsibility. Respite care is available 5 days a month.
If the severity of the patient's physical condition prevents appropriate care being provided in the home, the patient may be moved to an inpatient setting for better monitoring and control of physical symptoms.
Services are provided by Hospice under a contractual relationship with an inpatient provider, which stipulates that Hospice will retain professional management of the terminal illness. Hospice will assume financial responsibility for the inpatient stay if it occurs in a contractual facility, is ordered by the plan of care, and treatment is appropriate for palliation of the symptoms of the terminal illness.
Intensive Home Care
Hospice may provide Intensive Home Care in the home for patients whose acute symptoms require intense monitoring or treatment. Intensive Home Care may reduce the need for re-hospitalization for Respite and Symptom Management, and help patients return home from the hospital earlier.
Intensive Home Care shall be determined by the Patient Care Team and will be approved on an as needed basis. The care must be ordered by the physician and for short time frames only and/or until the crisis is resolved.