Change in Hospice Cap Review Timeline and Letter Changes

National Government Services wants all hospice providers to be aware that we are changing the timing of the final hospice cap reviews. The final hospice cap review will now take place at the time of the hospice cap self-reporting review. The final hospice cap review will take place during the first quarter of the calendar year versus during the fourth quarter of the calendar year. We will continue to complete the lookback period during the fourth quarter of the calendar year. 

We are also merging our hospice cap self-reporting confirmation letter with the final hospice cap letter. These changes will make it easier for hospice providers to understand the cap information as they will receive fewer letters and fewer demand requests. This will also result in a reduction in the number of extended repayment requests. We are implementing these changes with the 2019 hospice cap reviews.

If you have any questions on the timeline or letter changes please send an email to selfreportedhospicecap@anthem.com.

Posted 2/10/2020