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Special Report: Part 5

Coordination of care describes deliberate planning between providers to ensure continuity of care and the appropriate delivery of services. Most states discussed the importance of care coordination between the interdisciplinary hospice team. More rarely, states discussed how hospice and non-hospice providers may coordinate care, which is especially important in the context of concurrent care. Idaho places the responsibility of care coordination on the hospice provider, stating that, “the hospice provider is responsible for all services and items related to the terminal illness regardless of whether they are supplied directly by the hospice provider or by a non-hospice provider. It is the hospice agency’s responsibility to communicate and coordinate all services included in the patient’s plan of care, including billing processes.” Hospice providers in Ohio must meet the following guidelines meant to facilitate care coordination in order to receive reimbursement. This includes ensuring hospice services are maintained, documenting the delineation in which services are coordinated between hospice and non-hospice providers, and maintaining up to date contact information for providers of concurrent services.