Contact information for hospice within the DDA LTC Specialty Unit

Phone: 1-855-873-0642

Mail items for the DDA LTC Specialty Unit to: PO Box 45826 Olympia WA 98504-5826

Fax items (not hospice election notices) for the DDA LTC Specialty Unit to: 1-855-635-8305

Fax hospice election notices: Phone: 360-725-1965

All hospice notifications statewide are faxed to the Health Care Authority's (HCA) MEDS unit where they are scanned into Barcode document management systems (DMS). A copy is sent to the HCA notification unit to update the client information in the claims payment system and a copy is also sent to the DDA LTC Specialty Unit or HCS office of record for review.

Hospice agencies

Hospice agencies must send notices within 5 working days of election. If the Agency receives a hospice election notice later than 5 days of election for a client, the service authorization is not backdated. The HCS or DDA financial worker must contact Lori Rolley at HCS HQ, as HCA will need to adjust the provider payment.

Applications received requesting hospice only may be routed via DMS to the CSO 017 @ HSP for processing.

Applications for hospice received in the CSO that include requests for cash and food assistance are processed by the local CSO office. Set a same day tickle to CSO 017 @HSP for application. The DDA LTC Specialty Unit will process the request for hospice Medicaid coverage, if a hospice election is received.

Applications received where the client has requested hospice services are only handled by the DDA LTC Specialty Unit when there is an HCA 13-746 Hospice notification form in the client's record showing a current hospice election. If the client has indicated hospice on the application but no HCA 13-746 is in the client record, the DDA LTC Specialty Unit will contact the client, authorized representative or hospice agency to confirm whether the client has elected hospice or not, prior to denying the application for the hospice program or transferring the application to another office if other Medicaid or LTC services are requested.