MedicaidDocumentationMedium impact
Provider Bulletin 09-04-2025 Hospice Services and Medi-Cal Managed Care APL 25-008 IE LA SAC SD
Molina Healthcare·CA · Palliative Care·Medicaid
Effective date
May 5, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has updated hospice services requirements for Medi-Cal managed care, superseding previous guidance. All hospice providers must now submit required documentation within 5 calendar days of hospice certification and election, including physician certification and election forms, via fax to (339) 987-4487.
Action Required
Immediately: All hospice providers must submit required documentation to Molina Healthcare within 5 calendar days of hospice certification and election via fax to (339) 987-4487. Documentation includes: 1) Physician certification of terminal illness stating life expectancy of 6 months or less, 2) Completed hospice election form for each benefit period (initial 90-day, subsequent 90-day, or unlimited 60-day periods), 3) Revocation documentation within 5 days if member revokes election. For general inpatient hospice care, obtain prior authorization with physician orders, justification, terminal condition certification, plan of care, and signed election form. Failure to submit timely documentation may result in claim denials or compliance reviews.