Hospice Services
HRSA Service Definition
Hospice Services are end-of-life care services provided to clients in the terminal stage of an HIV-related illness. Allowable services are:
- Mental health counseling
- Nursing care
- Palliative therapeutics
- Physician services
- Room and board
Program Guidance:
Services may be provided in a home or other residential setting, including a non- acute care section of a hospital that has been designated and staffed to provide hospice services. This service category does not extend to skilled nursing facilities or nursing homes.
To meet the need for hospice services, a physician must certify that a patient is terminally ill and has a defined life expectancy as established by the recipient. Counseling services provided in the context of hospice care must be consistent with the definition of mental health counseling. Palliative therapies must be consistent with those covered under respective state Medicaid programs.
Number of Clients Served, Units Provided, Expenditures, Allocation, and Over/Under-spending
The Philadelphia EMA has not funded this service in the last four years.
Funding by Part, and info on any other payers
| Total Part A Funds (Formula + Supp.) | MAI | Total Part B Funds (Formula + Supp. NJ) | Total Part B Funds (Formula + Supp. PA) | Total Part C EIS Funds (State & Local) | Total Part D Funds (State & Local) | Total Part F Funds | |
|---|---|---|---|---|---|---|---|
| Last Year Allocation | |||||||
| Current Allocation |
Consumer survey info 2017 n=392
| n | Used in the last 12 months | Needed but did not get (last 12 months) | |
|---|---|---|---|
| Hospice Services | 62 | 29.0% | 71.0% |
Community Survey 2022 Service Responses n=236
| I never needed this service | I need this service and received it | I needed but did not get this service | I never heard of this service | |
|---|---|---|---|---|
| Hospice Services | 57.63% | 6.36% | 2.97% | 4.66% |
Unmet need
For the purposes of this document, need is based on the response of a consumer when asked if there was a service they needed. MMP interviews patients in care and asks consumers if they need a service and if they receive it. Client services unit data identifies needs at the time of initial intake.
| 2015-18 MMP Percent with a Need | 2021 Client Services Unit Need at Intake | |
|---|---|---|
| Hospice Services | - | - |
Recipient Service Considerations
Hospice Care