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Utah Medicaid Provider Manual Division of Medicaid and Health Financing Hospice Care Updated October 2013 SECTION 2 HOSPICE CARE PROVIDER MANUAL Table of Contents 1 GENERAL POLICY .................................................................................................................................
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How to fill out section 2 hospice care

How to fill out section 2 hospice care:
01
Start by reviewing the instructions provided for section 2 of your hospice care form. Familiarize yourself with the information that needs to be provided in this section.
02
Begin by entering the patient's personal information, such as their full name, date of birth, and social security number. Make sure to double-check the accuracy of the information before proceeding.
03
Next, provide details about the patient's medical condition that qualifies them for hospice care. This can include the diagnosis, any relevant medical history, and the prognosis determined by the physician.
04
In section 2, you may also be required to specify the attending physician who will be overseeing the patient's care. Include their name, contact information, and any other relevant details.
05
Additionally, you may need to indicate the presence of any medical orders related to the patient's care, such as Do Not Resuscitate (DNR) or Physician Orders for Life-Sustaining Treatment (POLST) forms. Provide the necessary information as requested.
06
Finally, review the completed section 2 to ensure accuracy and completeness. Make any necessary corrections or additions before submitting the form.
Who needs section 2 hospice care:
01
Individuals who have been diagnosed with a terminal illness and have a life expectancy of six months or less may require section 2 hospice care.
02
Section 2 is typically filled out by the patient's healthcare provider, in consultation with the patient and their family members.
03
Section 2 hospice care is necessary for those seeking palliative care and end-of-life support, focusing on pain management, comfort, and emotional support during their final stages of life.
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