Filing hospice claims

Per the Ohio Department of Medicaid, all hospice claims billed on the UB04 form must be billed with the appropriate county code to be reimbursed correctly. Failure to include the correct county code will result in denial of the claim.

The county code should be entered in the Value Code section of the UB04 form. The list of correct county codes can be found here. For additional information regarding hospice reimbursement, please refer to OAC 5160-56-06.

As of November 1, 2023, Anthem’s system configuration has been updated to allow providers who bill on the UB04 form to bill type of bill 81x or 82x for HCPCS codes T2042-T2045, based on the type of hospice provider billing these services.

If you have questions regarding hospice billing, please reach out to your Provider Relationship Account Management consultant at Ohiomedicaidprovider@anthem.com or refer to our provider website for additional information.

Through our efforts, we are committed to reducing administrative burden and ensuring timely payments because we value you, our care provider partners.