The information below is provided to help you complete these requirements:
Frequently asked questions and answers
This document provides additional information regarding the compliance requirements and Web access.
This document covers how to complete the required compliance requirements on Humana.com, how to register on Humana.com, how to create a new user, how to assign the compliance business function to another user and how to update an organization's tax identification number (TIN).
This document covers how to complete the compliance requirements on Availity.com, how to register on Availity.com, how to create a new user, how to assign the compliance business function to another user and how to update an organization's TIN.
If your organization is unable to register on Humana.com or Availity.com (link opens in new window) , refer to the following document:
Medicaid Hospice Benefit Election
The Illinois Department of Healthcare and Family Services (HFS) requires the submission of the Medicaid hospice benefit election standardized form to HFS for patients with Medicaid and dual Medicare-Medicaid coverage who elect hospice care. Hospice providers must complete the form for each hospice patient. (Please see the notice posted here: http://www.hfs.illinois.gov/assets/040714n.pdf (link opens in new window) .)
A copy of the Hospice Benefit Election Form can be found here:
This form must also be submitted to HFS when a patient dies, ceases hospice care or transfers to another hospice. Effective May 1, 2014, use of this form is mandatory. Hospices are asked to allow two weeks after submittal of the HFS 1592 before submitting a claim.
If a patient is covered under a managed care entity (MCE) contracted with HFS, hospice providers must also submit a copy of the HFS 1592 form to the MCE.
For patients with Humana Integrated Care Program of Illinois (Medicaid) or Humana Gold Plus Integrated (Medicare-Medicaid) coverage via Humana, submit a copy of the HFS 1592 form to Humana using one of the following methods:
Questions regarding this notice should be directed to the hospice’s billing consultant in the Bureau of Comprehensive Health Services at 1-877-782-5565.
Long-term services and supports (LTSS) provider portal
Long-term services and supports (LTSS) providers who need information regarding eligibility, authorizations and claims status can access the LTSS provider portal.