Hospice services are special care for people who are very sick and near the end of life. These services help people feel comfortable and support their families. Hospice care can include:

• Nursing services.
• Physical, occupational or speech services.
• Medical social services.
• Home health aide and homemaker services.
• Medical supplies and appliances.
• Medications (some may be available through Medi-Cal Rx).
• Counseling services
• Continuous nursing services on a 24-hour basis during periods of crisis and as necessary to maintain the terminally ill member at home.
• Inpatient respite care for up to five consecutive days at a time in a hospital, skilled nursing facility or hospice facility.
• Short-term inpatient care for pain control or symptom management in a hospital, skilled nursing facility or hospice facility.

In accordance with DHCS APL 25-008, Molina Healthcare of California (“Molina”) requires members needing Hospice services to utilize a Molina participating Hospice provider. Participating Hospice providers must maintain their Hospice Medicare Certification to provide Hospice services to Molina members. Participating Hospice providers are identified in the Molina Healthcare of California online Provider Directory.

An exception to this is for Molina Members who are capitated to a Participating Provider Group in Sacramento, Los Angeles, Riverside, and San Bernardino Counties, where the Participating Provider Group is at risk and has their own preferred network for Outpatient and Professional Hospice services. Also, some Provider Groups are responsible for Inpatient, Outpatient, and Professional Hospice services. Any Hospice claims received by Molina that are the responsibility of our capitated Provider Groups will be denied and redirected to that Provider Group.