Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 205 - Hospice Services
Chapter 1 - Program Overview
Rule 23-205-1.11 - Prior Authorization
Universal Citation: MS Code of Rules 23-205-1.11
Current through September 24, 2024
A. Prior authorization is required for the initial and all subsequent hospice election periods.
B. All prior authorization requests must be submitted within ten (10) calendar days of the effective date of the election period and must include the following:
1. For the initial ninety (90) day election
period:
a) Signed notice of election form,
b) Signed
certification/recertification of terminal illness form,
c) Clinical/medical information supporting
terminal prognosis,
d) Physician
orders,
e) Current medication list,
and
f) Hospice provider plan of
care.
2. For subsequent
ninety (90) day election period and subsequent sixty (60) day election periods:
a) Signed certification/recertification of
terminal illness form,
b) Updated
clinical/medical information supporting terminal prognosis,
c) Updated physician orders,
d) Updated medication record,
e) Updated plan of care,
f) Beneficiary's current weight, vital sign
ranges, lab tests, and
g) Any other
documentation supporting continuation of hospice
services.
C. All required documentation must be submitted with the prior authorization requests. Documentation that is incomplete or not received within fifteen (15) calendar days of the election period effective date will result in the effective date beginning when completed required documentation is received.
Miss. Code Ann. § 43-13-121.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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