Medicaid Fee-For-Service Hospice Inpatient Nursing Facility Rates (Jul 1, 2026–Dec 31, 2026)
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This memo sets the Medicaid fee-for-service daily reimbursement rates for hospice inpatient nursing facility care (revenue codes 0658 and 0659) for specified providers, effective for service dates on or after July 1, 2026 through December 31, 2026. It is directed to QUEST Integration Health Plans and pertains to the listed Hawaii hospice nursing facility providers.
No material clinical or coverage changes in this revision.
Coverage and Reimbursement Summary
Reimbursement rates
Coverage stance and criteria reflected by this memo:
ALL of the following
- Specifies daily reimbursement rates for named hospice providers for inpatient nursing facility care (revenue codes 0658 and 0659).
- Rates apply for service dates on or after July 1, 2026 through December 31, 2026.
Rates (provider number - provider name - daily rate)
- 055703 - Hospice Hilo dba Hawaii Care Choices - $455.01
- 069211 - Hospice Maui, Inc. - $482.45
- 251954 - St. Francis Hospice - $475.33
Revenue Codes
| 0658 | Revenue code for hospice inpatient nursing facility care |
| 0659 | Revenue code for hospice inpatient nursing facility care |
Billing Instructions and Applicability
Applicable services and revenue codes
Rates apply to Hospice Inpatient Nursing Facility Care services billed under Revenue Codes 0658 and 0659 for service dates on or after July 1, 2026.
- Applies to Hospice Inpatient Nursing Facility Care billed with revenue codes 0658 and 0659.
- Effective for service dates starting on or after July 1, 2026.
Daily Rate Definition
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