Good morning all.

Hello Good Morning Everyone:Roni Bailey @ Medi-Cal Consulting Services, Inc.www.medihelper.comroni@medihelper.com951.789.0065 x111YouTube Channel:https://www.youtube.com/channel/UCUmkdxghehorJ1k6cT6FReg

Good morning Everyone! Slides and recording will be sent out after.

Good morning! Looking forward to this presentation. Carmen Garcia, Outreach Specialist with California Phones cgarcia@ccaf.us www.californiaphones.org

For any media questions for Sheila please contact her directly at PresidentCEO@calhospice.org

Questions will be answered at the end! Please submit any questions you may have using the Q&A feature

Thank you.

The Q&A section states disabled

If Q&A is not working go ahead and put your question into chat.

Is it appropriate to assist with computer items? For example, helping the client sign in, understanding apps, etc. or is that considered "confidential info" and not eligible for assistance?

What does "NOE" stand for?

Do both a personal physician and hospice physician need to certify the terminal illness or can it just be the hospice physician?

What happens if the hospice doctor certified the patient is terminally ill but the regular doctor says the patient is not terminal and in good health?

for someone in a skilled nursing facility, what does hospice offer over and above care already being given?

If you have submitted a question to the Q&A box, there is no need to put it in chat as well. We see them! Again, all questions will be answered at the end!

Re medications: if someone has dementia and is prescribed Aricept or other related medication, can Hospice pay for that or must the patient stop taking it?

If a patient is receiving IHSS, would the hospice aid/homemaker services still be covered? Or vice versa?

What is IHSS

IHSS is an acronym for In Home Support Services

what would a plan of care look like for a person who had no caregiver/family?

Sometimes beneficiaries/patients have long term care insurance with a hospice benefit. Does the hospice agency work with long term care insurance policies to get additional benefits covered by the plan?

so if a person already living at a skilled nursing facility (being paid by Medi-cal) is later is admitted on Hospice- the nursing home gets the same payment. Arent' nursing home personell providing direct services?

HICAP - the California SHIP, can also help with Medicare coverage issues.

I had a client who was on Hospice from 2 years. During this time Hospice was paying for all of the clients medications including routine medications. Because all of the clients medications were being coverage through Hospice this client's spouse canceled his Part D prescription plan. Now that he has been removed from Hospice he was denied a SEP to enroll into Part D prescription plans. I was under the impression Hospice does not cover routine medications and only covers medication to keep the client comfortable. If Hospice did not cover all this clients med they would have kept his Part D plan. Can you explain why Hospice covered these medications?

We will get to Q&A after our other 2 presenters. Thank you for your patience.

where can you find that law 01/01/2022?

Can an Ombudsman sign if the patient in a nursing home or RCFE sign on behalf of the patient? or witness the signature?

Can CHAPCA advertise in California to warn people of the hospice scams?

What is the definition of terminally ill?

Is there a handout available regarding the 2 California laws effective 1-1-22 (AB 1280 and SB 664)?

what does "CMS" stand for please?

CMS = Centers for Medicare and Medicaid Services

Thank you. Brent, would love to hear how CMS regulates "Board & Care" orgs that also act as hospice for some. We had a unfortunate experience but there didn't seem to be recourse (although we did speak with the local Ombudsman, they mostly just "listened").

Has CMS considered implementing a similar hospice moratorium nationwide?

are the applying hospices "for profit" or part of established healthprovider (like a hospital)

Are slides available for these presentation? When?

Slides and additional information will be sent out by tomorrow, as well as a recording of this webinar.

what is SMP please?

SMP = Senior Medicare Patrol

Who is a good contact to help me understand my loved ones' Medical benefits? Not yet in need of hospice, but recent development in health has him less able than before and needing more care.

+1 for Dan's Question. There seems to be a coverage gap for those who don't need full-time "skilled nursing" but need 24x7 monitoring and assistance. Medi-Cal does not seem to cover, nor does Medicare, nor does hospice.

Contact your local HICAP office ( Health Insurance counseling and Advocacy Program) . Google it .

Thank you Ashok, I have been on the phone with HICAP but they don't know Medical or can they handle the coverage gap.

Thank you all for helping answer other participants questions. You all rock! HICAP is 1-800-434-0222

Thank You

Report that "no one after 15 months" to OIG/SMP!!

We get calls from hospice relatives who want to cancel their advantage plan, or supplement and Part D drug plan because hospice will cover everything. Don't they still need coverage in case, say, they break an arm?

We have soo many questions and only a few minutes left. We will gather all your unanswered questions and have our panelists answer them and we'll email them out to you as follow up. Thank you for understanding.

Thank you very informative Webinar!!! Looking forward to receiving the slides and information after the presentation. Well done!

Thank you!

Thanks!

Thank you!

Thank you!